Jordan Louis Mallamace, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010434 Issued in GA

Practice address

6110 McFarland Station Dr Unit 400
Alpharetta, GA 30004-6806

Phone

(770) 851-9890

NPI assigned

Oct 20, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jordan Louis Mallamace Professional name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Alliance Spine and Physical MedicineGroup PAC ID 9638604630, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alliance Spine and Physical Medicine

  • Chiropractor
  • Woodstock, GA
  • NPI 1306672902
  Medicare reassignment Care Compare group NPD
• Alliance Sports Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Alpharetta, GA
  • NPI 1841825122

  Chiropractor

  Medicare reassignment NPD

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1124627260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 MCFARLAND STATION DR UNIT 400",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046806",
            "telephone_number": "770-851-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 MCFARLAND STATION DR UNIT 400",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046806",
            "telephone_number": "770-851-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLAMACE",
        "first_name": "JORDAN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "MALLAMACE",
            "middle_name": "LOUIS",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brandy Mak, M.S.
• Shreyas Girish Makwana, M.D.
• Matthew David Malamet, M.D.
• Leila Malchak, D.A. HOM, N.D.
• Farhan Javed Malik, M.D.
• Marissa Malloy
• Jacqueline Michelle Malone, DMD, MS
• Danya Maloon, LMSW
• Mariann Mamberg, MSW,LCSW
• Pavan Kumar Mamilla, M.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.