Individual provider Active NPI

Benjamin Scott McDowell, D.C.

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1144659723
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO09772 Issued in GA
Practice address
1570 Holcomb Bridge Rd
Ste 550
Roswell, GA 30076-2596
Phone
(404) 213-7607
Fax
(770) 904-9038
NPI assigned
Nov 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO09772 GA Primary

Addresses

Primary practice location

1570 Holcomb Bridge Rd
Ste 550
Roswell, GA 30076-2596

Mailing address

2648 Northbrook Dr
Atlanta, GA 30340-4919
Phone (404) 213-7607

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170711003785 GA Practitioner - Chiropractic 7517194608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1570 Holcomb Bridge Rd
Suite 550
Roswell, GA 30076-2596
Phone (770) 599-7139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO09772GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McDowell Global LLC Chiropractor CurrentSince Apr 17, 2017 Accepting new patients
Jangracyn Chiropractic, PC Chiropractor CurrentSince Aug 2, 2020 Accepting new patients

Locations

1570 Holcomb Bridge Rd
Ste 550
Roswell, GA 30076
Phone (404) 213-7607

1401 Greenway Ct
Sanford, NC 27330
Phone (919) 774-6111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1144659723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 NORTHBROOK DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404919",
            "telephone_number": "404-213-7607",
            "fax_number": "770-904-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 HOLCOMB BRIDGE RD",
            "address_2": "STE 550",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762596",
            "telephone_number": "404-213-7607",
            "fax_number": "770-904-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "BENJAMIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-05",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO09772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.