Organization Active NPI

Kazz Care LLC

  • Health Service Clinic/Center
  • Marietta, GA
National Provider Identifier
1154791820
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CHIR009027 Issued in GA
Legal business name
KAZZ CARE LLC
Practice address
771 Reeves Lake Dr SW
Marietta, GA 30064-5239
Phone
(404) 944-6548
NPI assigned
Oct 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Kevin Kazakevich, D.C.
Title
Owner
Phone
(404) 944-6548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X CHIR009027 GA Primary

Addresses

Primary practice location

771 Reeves Lake Dr SW
Marietta, GA 30064-5239

Mailing address

771 Reeves Lake Dr SW
Marietta, GA 30064-5239
Phone (404) 944-6548

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1154791820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 REEVES LAKE DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645239",
            "telephone_number": "404-944-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 REEVES LAKE DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645239",
            "telephone_number": "404-944-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAZZ CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "KAZAKEVICH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-944-6548",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "CHIR009027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.