NPIMap

Organization Active NPI

Woodruff Holistic Health Centers, LLC

Doing business as Conyers Holistic Chiropractic & Nutrition

  • Chiropractor
  • Conyers, GA
National Provider Identifier
1235561275
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009162 Issued in GA
Legal business name
WOODRUFF HOLISTIC HEALTH CENTERS, LLC
Doing business as
Conyers Holistic Chiropractic & Nutrition
Practice address
969 Okelly St SE
Conyers, GA 30012-5470
Phone
(770) 648-7445
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Dr. Shawna Woodruff, D.C.
Title
Owner/Provider
Phone
(770) 648-7445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR009162 GA Primary

Addresses

Primary practice location

969 Okelly St SE
Conyers, GA 30012-5470

Mailing address

969 Okelly St SE
Conyers, GA 30012-5470
Phone (770) 648-7445

Other names 1

  • Conyers Holistic Chiropractic & Nutrition Doing business as

National Provider Directory

National Provider Directory

Locations

969 Okelly St SE
Conyers, GA 30012
Phone (770) 648-7445

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1235561275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 OKELLY ST SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300125470",
            "telephone_number": "770-648-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 OKELLY ST SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300125470",
            "telephone_number": "770-648-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODRUFF HOLISTIC HEALTH CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "770-648-7445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conyers Holistic Chiropractic & Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.