Organization Active NPI

Ahcc Inc

  • Rehabilitation Chiropractor
  • Atlanta, GA
National Provider Identifier
1144668278
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CHIR008224 Issued in GA
Legal business name
AHCC INC
Practice address
5252 Roswell Rd
Suite 102
Atlanta, GA 30342-1969
Phone
(404) 252-7833
NPI assigned
Jun 11, 2013
Last updated
Jun 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Dr. John G Vatistas, D.C.NPI 1770752230
Title
Ceo
Phone
(404) 307-1027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X CHIR008224 GA Primary

Addresses

Primary practice location

5252 Roswell Rd
Suite 102
Atlanta, GA 30342-1969

Mailing address

5252 Roswell Rd
Suite 102
Atlanta, GA 30342-1969
Phone (404) 252-7833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130618000484 GA Part B Supplier - Clinic/Group Practice 9638318959 Receives reassigned benefits from 1 practitioner
Practice locations: Sandy Springs, GA

National Provider Directory

National Provider Directory

Locations

5252 Roswell Rd
Ste 102
Sandy Springs, GA 30342
Phone (404) 252-7833

5600 Roswell Rd
Ste H230
Sandy Springs, GA 30342
Phone (404) 252-7833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1144668278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 ROSWELL RD",
            "address_2": "SUITE 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421969",
            "telephone_number": "404-252-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 ROSWELL RD",
            "address_2": "SUITE 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421969",
            "telephone_number": "404-252-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHCC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "VATISTAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-307-1027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR008224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.