Injury & Wellness Specialists of Georgia

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

INJURY & WELLNESS SPECIALISTS OF GEORGIA

Practice address

3800 Holcomb Bridge Rd Ste D
Peachtree Corners, GA 30092-2230

Phone

(770) 800-1000

Fax

(770) 800-1000

NPI assigned

Dec 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Tannaz Modaresi, DC

Title

Owner

Phone

(770) 800-1000

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rey V Medina Gonzalez, DC

  • Chiropractor
  • Atlanta, GA
  • NPI 1073224911
  NPD (past)
• Giselle Myrelis Santana Perez, DC

  • Chiropractor
  • Mesquite, TX
  • NPI 1891327110
  NPD (past)

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1154927325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOLCOMB BRIDGE RD STE D",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922230",
            "telephone_number": "770-800-1000",
            "fax_number": "770-800-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOLCOMB BRIDGE RD STE D",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922230",
            "telephone_number": "770-800-1000",
            "fax_number": "770-800-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY & WELLNESS SPECIALISTS OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "MODARESI",
        "authorized_official_first_name": "TANNAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-800-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Michelle Hooper, PHARMD
• Hope Restoration & Healing Center
• Jenai Huff
• Bailey Nicole Hunt, MT-BC
• Katra Umer Hussein
• Integrity Homecare and Nursing Service Agency
• Ioannis Ioannou, PSY.D.
• Jane'T D Irvin
• Iyaho Social Services of Georgia Inc.
• J3P LLC

• Chiropractor in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.