Individual provider Active NPI

Jason Alon Regis, D.C.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1215199211
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008364 Issued in GA
Practice address
4343 Shallowford Rd Ste 760
Marietta, GA 30062-5084
Phone
(678) 352-1948
Fax
(678) 352-9267
NPI assigned
Jun 30, 2008
Last updated
May 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008364 GA Primary

Addresses

Primary practice location

4343 Shallowford Rd Ste 760
Marietta, GA 30062-5084

Mailing address

4343 Shallowford Rd Ste 760
Marietta, GA 30062-5084
Phone (678) 352-1948

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100713000067 GA Practitioner - Chiropractic 9133251044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4343 Shallowford Rd
Suite 760
Marietta, GA 30062-5084
Phone (678) 352-1948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transition Chiropractic Inc Chiropractor CurrentSince Mar 16, 2010 Accepting new patients

Locations

4343 Shallowford Rd
Ste 760
Marietta, GA 30062
Phone (678) 352-1948

1745 Woodstock Rd
Ste 100
Roswell, GA 30075
Phone (678) 665-0455

Organizations & group practices 1

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1215199211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD STE 760",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625084",
            "telephone_number": "678-352-1948",
            "fax_number": "678-352-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD STE 760",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625084",
            "telephone_number": "678-352-1948",
            "fax_number": "678-352-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGIS",
        "first_name": "JASON",
        "middle_name": "ALON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008364",
            "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 May 16, 2023; 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.