Healthsource Chiropractic of Johns Creek

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO003079 Issued in GA

Legal business name

HEALTHSOURCE CHIROPRACTIC OF JOHNS CREEK

Practice address

10475 Medlock Bridge Rd
Suite #810
Duluth, GA 30097-4433

Phone

(678) 957-0266

Fax

(678) 957-0268

NPI assigned

Sep 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shelley A. West, D.C.

Title

President

Phone

(678) 957-0266

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Elena Moeser, DC

  • Chiropractor
  • Buford, GA
  • NPI 1528142254
  NPD (past)
• Shannon Beth Darrow, DC

  • Chiropractor
  • North Las Vegas, NV
  • NPI 1902037799
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1093810020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD",
            "address_2": "SUITE #810",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974433",
            "telephone_number": "678-957-0266",
            "fax_number": "678-957-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD",
            "address_2": "SUITE #810",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974433",
            "telephone_number": "678-957-0266",
            "fax_number": "678-957-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE CHIROPRACTIC OF JOHNS CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-957-0266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO003079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ju He, LCA
• Healing Me First Global, LLC (Healing Me First Wellness Center)
• Healing Space, LLC
• Health Associates of Gwinnett PC
• Healthcare Investors International, Inc.
• Healthtrac Family Wellness
• Healthy First
• Henry H. Heard, PA
• Frances Hearn
• Heavenly Global Health Care Services, LLC

• Chiropractor in Duluth, GA
• Providers in Duluth, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.