Active NPI
Taylor Ward, DC
- Sports Physician Chiropractor
- Marietta, GA
National Provider Identifier
1174350359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CHIR011242
- Practice address
- 1269 Barclay Cir SE
Marietta, GA 30060-2903 - Phone
- (770) 426-2700
- NPI assigned
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CHIR011242 | GA | Primary |
Addresses
Primary practice location
1269 Barclay Cir SE
Marietta, GA 30060-2903
Mailing address
1108 Woodlands Dr SE
Smyrna, GA 30080-2452
Phone (616) 755-2413
Other practice location 1
608 Moreland Ave NE
Atlanta, GA 30307-1425
Phone (404) 687-2382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR011242 | GA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Spine Wellness Center LLC | Past | Accepting new patients | |
| Atlanta Chiropractic & Wellness Center | Past | Accepting new patients |
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.
-
- Chiropractor
- Atlanta, GA
- NPI 1114344850
-
- Preferred Provider Organization
- Atlanta, GA
- NPI 1952680928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1174350359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 WOODLANDS DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300802452",
"telephone_number": "616-755-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1269 BARCLAY CIR SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300602903",
"telephone_number": "770-426-2700"
}
],
"practiceLocations": [
{
"address_1": "608 Moreland Ave NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303071425",
"country_code": "US",
"telephone_number": "404-687-2382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARD",
"first_name": "TAYLOR",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-19",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "GA",
"license": "CHIR011242",
"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 Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.