Kevin Lance Stalls, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009997 Issued in GA

Practice address

1700 Northside Dr NW Ste A3
Atlanta, GA 30318-2695

Phone

(404) 351-1800

NPI assigned

Jan 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cory Family Chiropractic, PC

  • Chiropractor
  • Atlanta, GA
  • NPI 1952072282
  NPD (past)

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1154839769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 DEFOOR VILLAGE CT NW APT 307",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NORTHSIDE DR NW STE A3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182695",
            "telephone_number": "404-351-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLS",
        "first_name": "KEVIN",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chatney Stallings, BA
• Kenneth M Stallings, MD
• Nicole Renee Stallings, CRNP
• Shearon A Stallings
• Jay B Stallman, M.D.
• Brittany Stallworth, MD
• Cheryl Stokes Stallworth
• Ladonna Catherine Stallworth, LPC, CPCS
• Latasha Stallworth, PHARMD
• Melissa Stalvey, RN

• Chiropractor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.