Pain and Accident Chiropractic-Roswell LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PAIN AND ACCIDENT CHIROPRACTIC-ROSWELL LLC

Doing business as

Pain and Accident Chiropractic

Practice address

425 E Crossville Rd Ste 101
Roswell, GA 30075-3058

Phone

(404) 403-5689

NPI assigned

Jul 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Michael Duckett, DC

Title

Owner

Phone

(404) 403-5689

Specialties & licenses 1

Addresses

Other names 1

• Pain and Accident Chiropractic Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian Holliday, DC

  • Chiropractor
  • Roswell, GA
  • NPI 1871258772
  NPD
• Carl Tyler Shenkman, M.D., J.D., LLM

  • Neurology Physician
  • Clearwater, FL
  • NPI 1083664874
  NPD (past)

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1215508148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E CROSSVILLE RD STE 101",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753058",
            "telephone_number": "404-403-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E CROSSVILLE RD STE 101",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753058",
            "telephone_number": "404-403-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND ACCIDENT CHIROPRACTIC-ROSWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-403-5689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain and Accident Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Otting, MA CCC-SLP
• Jill Otto
• Jessica Marie Oudekerk, DC
• Leonard Packtor, DDS
• Barbara Orr Pagillo, PT
• Painlogics LLC
• Jennifer Ko Pak, PT
• Surya Sreeram Palakuru, M.D.
• Priya C Palliyil, MD
• Michael Palmieri, D.C.

• Clinic/Center in Roswell, GA
• Providers in Roswell, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.