Jacqueline Waice, DC, ATC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CHIR008886 Issued in GA

Practice address

5064 Roswell Rd
Suite C-201
Atlanta, GA 30342-2281

Phone

(404) 233-2440

NPI assigned

Oct 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chiropractic and Sports Injury of Atlanta, LLC

  • Sports Physician Chiropractor
  • Atlanta, GA
  • NPI 1083012793
  NPD (past)
• Greg Wheeler Chiropractic, LLC

  • Chiropractor
  • Atlanta, GA
  • NPI 1750619623
  NPD (past)

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1114203676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 WINDSTONE DR",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307364123",
            "telephone_number": "570-956-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5064 ROSWELL RD",
            "address_2": "SUITE C-201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422281",
            "telephone_number": "404-233-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAICE",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "DC, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "CHIR008886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Philobateer Wahba, MD
• Nida Waheed
• Sana Waheed, M.D.
• Madison Wahl
• Kimberly Michelle Wahler, PA-C
• Joseph Waiguru
• Bruce H. Wainer, M.D., PH.D.
• Ashley Farrell Wainio, ANES. ASST.
• Cari Wainio
• Cara Darise Waiswilos, MS, APC, CRC, NCC

• Sports Physician Chiropractor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Sports Physician Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.