Active NPI
Kristie Elizabeth Pszczola, D.C.
- Chiropractor
- Acworth, GA
National Provider Identifier
1144349028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR005722
- 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, 2007
- Sex
- Female
- 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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR005722 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
| Brannan Chiropractic LLC | Chiropractor | Past | 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.
-
- Chiropractor
- Woodstock, GA
- NPI 1477714186
-
dba Helen T Whitley, LCSW
- Clinical Social Worker
- Woodstock, GA
- NPI 1689043200
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
- Professional Dental Alliance of Georgia, LLC
- Lori Ann Pruitt, OTR/L
- Russell Franklin Pruitt, M.D.
- Teri Pruitt, NP
- Psychiatry and Wellness of Georgia, LLC
- PT Solutions of Acworth, LLC
- Publix Super Markets Inc (Publix Pharmacy #0593)
- Publix Super Markets Inc (Publix Pharmacy #1096)
- Publix Super Markets Inc (Publix Pharmacy #0566)
- Kristy L Pucylowski, PHARMD., RPH
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.