NPIMap

Organization Active NPI

Comprehensive Injury Center, LLC

  • Rehabilitation Chiropractor
  • Atlanta, GA
National Provider Identifier
1124396197
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
COMPREHENSIVE INJURY CENTER, LLC
Practice address
3286 Buckeye Rd Ste 102
Atlanta, GA 30341-4228
Phone
(770) 455-4600
Fax
(770) 455-7799
NPI assigned
Dec 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Jamal Bahhur
Title
Clinic Director
Phone
(770) 455-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

3286 Buckeye Rd Ste 102
Atlanta, GA 30341-4228

Mailing address

3286 Buckeye Rd Ste 102
Atlanta, GA 30341-4228
Phone (770) 455-4600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1124396197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3286 BUCKEYE RD STE 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414228",
            "telephone_number": "770-455-4600",
            "fax_number": "770-455-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3286 BUCKEYE RD STE 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414228",
            "telephone_number": "770-455-4600",
            "fax_number": "770-455-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE INJURY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "BAHHUR",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "770-455-4600"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 6, 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.