Organization Active NPI

Lissa Place Chiropractic, Inc.

  • Health Service Clinic/Center
  • Atlanta, GA
National Provider Identifier
1093971962
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CHIR008048 Issued in GA
Legal business name
LISSA PLACE CHIROPRACTIC, INC.
Practice address
3001 N Druid Hills Rd NE
Atlanta, GA 30329-3911
Phone
(404) 248-1771
Fax
(404) 248-1826
NPI assigned
Jul 31, 2008
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. Melissa Place, DCNPI 1659589778
Title
President
Phone
(404) 248-1771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X CHIR008048 GA Primary

Addresses

Primary practice location

3001 N Druid Hills Rd NE
Atlanta, GA 30329-3911

Mailing address

3001 N Druid Hills Rd NE
Atlanta, GA 30329-3911
Phone (404) 248-1771

Other identifiers 1

IdentifierTypeStateIssuer
CHIR008048OtherGAGA STATE LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

675 Seminole Ave NE
Ste 104
Atlanta, GA 30307
Phone (678) 793-9260

3001 N Druid Hills Rd NE
Atlanta, GA 30329
Phone (404) 248-1771

3121 E Shadowlawn Ave NE
Atlanta, GA 30305
Phone (404) 364-0900

315 W Ponce de Leon Ave
Ste 550
Decatur, GA 30030
Phone (678) 793-9260

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1093971962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 N DRUID HILLS RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293911",
            "telephone_number": "404-248-1771",
            "fax_number": "404-248-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N DRUID HILLS RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293911",
            "telephone_number": "404-248-1771",
            "fax_number": "404-248-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISSA PLACE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "PLACE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-248-1771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "CHIR008048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA STATE LICENSE NUMBER",
            "identifier": "CHIR008048",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.