Organization Active NPI

Jacob D Taylor

Doing business as Injury Therapy Group

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1205556842
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JACOB D TAYLOR
Doing business as
Injury Therapy Group
Practice address
2323 Shallowford Rd Ste 105C
Marietta, GA 30066-2000
Phone
(678) 525-4524
Fax
(678) 547-3108
NPI assigned
Sep 2, 2022
Last updated
Sep 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Dr. Jacob Donald Taylor, DCNPI 1598125874
Title
Owner
Phone
(678) 525-4524

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

2323 Shallowford Rd Ste 105C
Marietta, GA 30066-2000

Mailing address

2323 Shallowford Rd Ste 105C
Marietta, GA 30066-2000
Phone (678) 525-4524

Other names 1

  • Injury Therapy Group Doing business as

National Provider Directory

National Provider Directory

Locations

2323 Shallowford Rd
Ste 105C
Marietta, GA 30066
Phone (678) 525-4524

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": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1205556842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 SHALLOWFORD RD STE 105C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662000",
            "telephone_number": "678-525-4524",
            "fax_number": "678-547-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 SHALLOWFORD RD STE 105C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662000",
            "telephone_number": "678-525-4524",
            "fax_number": "678-547-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB D TAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-525-4524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Injury Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 2, 2022; 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.