Individual provider Active NPI

Kristie Elizabeth Pszczola, D.C.

  • Chiropractor
  • Acworth, GA
National Provider Identifier
1144349028
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005722 Issued in GA
Practice address
5505 Bells Ferry Rd
Building 300 Suite 240
Acworth, GA 30102-7527
Phone
(678) 445-1400
Fax
(678) 445-4585
NPI assigned
Mar 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR005722 GA Primary

Addresses

Primary practice location

5505 Bells Ferry Rd
Building 300 Suite 240
Acworth, GA 30102-7527

Mailing address

PO Box 2563
Acworth, GA 30102-0010
Phone (770) 256-5699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000870 GA Practitioner - Chiropractic 3870583230 Practice locations: Tucker, GA; Woodstock, GA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 Mirramont Lake Dr
Woodstock, GA 30189-8213
Phone (770) 517-5610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR005722GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Chiropractic, Inc. Chiropractor Past Accepting new patients
Brannan Chiropractic LLC Chiropractor PastSince Aug 1, 2008 Accepting new patients
Helen T Whitley, LCSW, Inc. Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144349028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2563",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301020010",
            "telephone_number": "770-256-5699",
            "fax_number": "678-445-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 BELLS FERRY RD",
            "address_2": "BUILDING 300 SUITE 240",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301027527",
            "telephone_number": "678-445-1400",
            "fax_number": "678-445-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSZCZOLA",
        "first_name": "KRISTIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.