Organization Active NPI

Pma Health Services, Inc.

  • Chiropractor
  • Lilburn, GA
National Provider Identifier
1245308865
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2746 Issued in GA
Legal business name
PMA HEALTH SERVICES, INC.
Practice address
4153 Lawrenceville Hwy NW
Suite 3
Lilburn, GA 30047-2854
Phone
(770) 381-6522
Fax
(770) 381-6542
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Dr. Philip A. McWilliams, D.C.NPI 1548345127
Title
Ceo
Phone
(770) 381-6522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2746 GA Primary

Addresses

Primary practice location

4153 Lawrenceville Hwy NW
Suite 3
Lilburn, GA 30047-2854

Mailing address

4153 Lawrenceville Hwy NW
Suite 3
Lilburn, GA 30047-2854
Phone (770) 381-6522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120502000116 GA Part B Supplier - Clinic/Group Practice 9537321971 Receives reassigned benefits from 1 practitioner
Practice locations: Lilburn, GA

National Provider Directory

National Provider Directory

Locations

4153 Lawrenceville Hwy NW
Ste 3
Lilburn, GA 30047
Phone (770) 381-6522

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1245308865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE 3",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472854",
            "telephone_number": "770-381-6522",
            "fax_number": "770-381-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE 3",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472854",
            "telephone_number": "770-381-6522",
            "fax_number": "770-381-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMA HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-381-6522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.