Active NPI
Palmercare Chiropractic Atlanta LLC
- Chiropractor
- Atlanta, GA
National Provider Identifier
1114492683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PALMERCARE CHIROPRACTIC ATLANTA LLC
- Practice address
- 2770 Lenox Rd NE Ste B2
Atlanta, GA 30324-6006 - Phone
- (202) 489-8551
- NPI assigned
- Oct 10, 2018
- Last updated
- Oct 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Casey Holm
- Title
- Cfo
- Phone
- (713) 829-7506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
2770 Lenox Rd NE Ste B2
Atlanta, GA 30324-6006
Mailing address
2770 Lenox Rd NE Ste B2
Atlanta, GA 30324-6006
Phone (202) 489-8551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CHIR010067 | Other | GA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2770 Lenox Rd NE
Ste B2
Atlanta, GA 30324
Phone (202) 489-8551
Practitioners & affiliated clinicians
Practitioners 1
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": "1539129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539129600000",
"number": "1114492683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2770 LENOX RD NE STE B2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303246006",
"telephone_number": "202-489-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 LENOX RD NE STE B2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303246006",
"telephone_number": "202-489-8551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMERCARE CHIROPRACTIC ATLANTA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A",
"authorized_official_last_name": "HOLM",
"authorized_official_first_name": "CASEY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "713-829-7506"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "CHIR010067",
"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 Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.