Individual provider Active NPI

Joel Edward Margolies, DC

  • Chiropractor
  • Tucker, GA
National Provider Identifier
1255438834
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1217 Issued in GA
Practice address
4910 Lavista Rd
Tucker, GA 30084-4403
Phone
(770) 491-3639
Fax
(770) 491-3799
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1217 GA Primary

Addresses

Primary practice location

4910 Lavista Rd
Tucker, GA 30084-4403

Mailing address

4910 Lavista Rd
Tucker, GA 30084-4403
Phone (770) 491-3639

Other identifiers 1

IdentifierTypeStateIssuer
00583173BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1217GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Care of Gwinnett LLC Chiropractor PastSince May 2, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255438834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 LAVISTA RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844403",
            "telephone_number": "770-491-3639",
            "fax_number": "770-491-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 LAVISTA RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844403",
            "telephone_number": "770-491-3639",
            "fax_number": "770-491-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOLIES",
        "first_name": "JOEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "1217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00583173B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.