Individual provider Active NPI

Michael Fredrick Hatrak, D.C.

  • Chiropractor
  • Alpharetta, GA
National Provider Identifier
1194802942
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO002950 Issued in GA
Practice address
6495 Shiloh Rd
Suite A2-110
Alpharetta, GA 30005-1635
Phone
(770) 740-9200
Fax
(770) 752-5607
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO002950 GA Primary

Addresses

Primary practice location

6495 Shiloh Rd
Suite A2-110
Alpharetta, GA 30005-1635

Mailing address

6495 Shiloh Rd
Suite A2-110
Alpharetta, GA 30005-1635
Phone (770) 740-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602000170 GA Practitioner - Chiropractic 2466434782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1976
Medicare assignment
May accept Medicare assignment
Group practices
Synergy Release Sports LLCGroup PAC ID 1557542750, 3 clinicians

Practice addresses (Care Compare)

6495 Shiloh Rd
Alpharetta, GA 30005-1635
Phone (678) 777-0157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO002950GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Release Sports LLC Chiropractor CurrentSince Nov 29, 2010 Accepting new patients

Locations

6495 Shiloh Rd
Ste A2110
Alpharetta, GA 30005
Phone (770) 740-9200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1194802942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 SHILOH RD",
            "address_2": "SUITE A2-110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051635",
            "telephone_number": "770-740-9200",
            "fax_number": "770-752-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 SHILOH RD",
            "address_2": "SUITE A2-110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051635",
            "telephone_number": "770-740-9200",
            "fax_number": "770-752-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATRAK",
        "first_name": "MICHAEL",
        "middle_name": "FREDRICK",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO002950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.