Active NPI
William Eloridge Phoenix, DC
- Chiropractor
- Marietta, GA
National Provider Identifier
1124747928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR010821
- Practice address
- 2480 Windy Hill Rd SE Ste 104
Marietta, GA 30067-8608 - Phone
- (770) 575-1941
- NPI assigned
- Aug 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR010821 | GA | Primary |
Addresses
Primary practice location
2480 Windy Hill Rd SE Ste 104
Marietta, GA 30067-8608
Mailing address
1033 Legacy Oaks Cir Apt 1033
Roswell, GA 30076-4838
Phone (912) 657-5232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR010821 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1124747928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 LEGACY OAKS CIR APT 1033",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764838",
"telephone_number": "912-657-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 WINDY HILL RD SE STE 104",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678608",
"telephone_number": "770-575-1941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHOENIX",
"first_name": "WILLIAM",
"middle_name": "ELORIDGE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-24",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR010821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
- Sara Evans Phillips, O.T.R.L
- Sascha Phillips
- Taylor Marie Phillips
- Wendy Sue Phillips, D.C.
- Phoenix Squared, LLC (Comfort Keepers of Marietta)
- Phyllis a Garrett
- Physical Medicine Center
- Physical Therapy Consultants Inc
- Physical Therapy Partners of Georgia, LLC
- Physicans at Home, LLC (Primary Care in Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.