Active NPI
Joshua Alan Kolonick, D.C.
- Chiropractor
- Kennesaw, GA
National Provider Identifier
1215048863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007735
- Practice address
- 1301 Shiloh Rd NW
Suite 1310
Kennesaw, GA 30144-7147 - Phone
- (770) 420-8818
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR007735 | GA | Primary |
Addresses
Primary practice location
1301 Shiloh Rd NW
Suite 1310
Kennesaw, GA 30144-7147
Mailing address
1301 Shiloh Rd NW
Suite 1310
Kennesaw, GA 30144-7147
Phone (770) 420-8818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1301 Shiloh Rd NW
Suite 1310
Kennesaw, GA 30144-7164
Phone (770) 420-8818
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR007735 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kolonick Chiropractic, PC | Chiropractor | Current | Accepting new patients |
| Gana Corporation | Chiropractor | Past | Accepting new patients |
Locations
1301 Shiloh Rd NW
Ste 1310
Kennesaw, GA 30144
Phone (770) 420-0083
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
- Kennesaw, GA
- NPI 1740391358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215048863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 SHILOH RD NW",
"address_2": "SUITE 1310",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301447147",
"telephone_number": "770-420-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SHILOH RD NW",
"address_2": "SUITE 1310",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301447147",
"telephone_number": "770-420-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLONICK",
"first_name": "JOSHUA",
"middle_name": "ALAN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.