Organization Active NPI

Naturally Rooted Chiropractic PC

  • Chiropractor
  • Dacula, GA
National Provider Identifier
1255152138
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NATURALLY ROOTED CHIROPRACTIC PC
Practice address
2300 Liam Ave Ste 204
Dacula, GA 30019-2264
Phone
(404) 808-3356
NPI assigned
Oct 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Dr. Natasha Donjoie-Mathieu, DC
Title
Ceo
Phone
(404) 808-3356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2300 Liam Ave Ste 204
Dacula, GA 30019-2264

Mailing address

3245 Ambergrove Trce
Dacula, GA 30019-6811
Phone (404) 808-3356

National Provider Directory

National Provider Directory

Locations

2300 Liam Ave
Ste 204
Dacula, GA 30019
Phone (404) 808-3356

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": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1255152138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 AMBERGROVE TRCE",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196811",
            "telephone_number": "404-808-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LIAM AVE STE 204",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192264",
            "telephone_number": "404-808-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURALLY ROOTED CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "DONJOIE-MATHIEU",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-808-3356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.