Organization Active NPI

Abundant Life Wellness Center Inc.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1174664072
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO02622 Issued in GA
Legal business name
ABUNDANT LIFE WELLNESS CENTER INC.
Practice address
2231-C Robinson Road
Marietta, GA 30068
Phone
(770) 973-5775
Fax
(770) 973-2257
NPI assigned
Feb 12, 2007
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Dr. Jessie Mae Seward, DC LMTNPI 1275969024
Title
President
Phone
(770) 973-5775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO02622 GA Primary
Chiropractor 111N00000X CHIR007814 GA

Addresses

Primary practice location

2231-C Robinson Road
Marietta, GA 30068

Mailing address

2231-C Robinson Road
Marietta, GA 30068
Phone (770) 973-5775

National Provider Directory

National Provider Directory

Locations

2231 Robinson Rd NE
#C
Marietta, GA 30068
Phone (770) 973-5775

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1174664072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231-C ROBINSON ROAD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30068",
            "telephone_number": "770-973-5775",
            "fax_number": "770-973-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231-C ROBINSON ROAD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30068",
            "telephone_number": "770-973-5775",
            "fax_number": "770-973-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "SEWARD",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-973-5775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC LMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO02622",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007814",
            "primary": false
        }
    ],
    "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 Aug 1, 2013; 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.