Active NPI
Malissia F. Hewett-McNeil, D.C.
- Chiropractor
- Douglasville, GA
National Provider Identifier
1255534095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8043
- Practice address
- 8303 Office Park Dr Ste B
Douglasville, GA 30134-6935 - Phone
- (770) 480-9159
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8043 | GA | Primary |
| Chiropractor | 111N00000X | 3649 | NC |
Addresses
Primary practice location
8303 Office Park Dr Ste B
Douglasville, GA 30134-6935
Mailing address
5010 Starla Lane
Douglasville, GA 30135
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8043 | GA | MD | Chiropractor |
| 3649 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1255534095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 STARLA LANE",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "30135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 OFFICE PARK DR STE B",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301346935",
"telephone_number": "770-480-9159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEWETT-MCNEIL",
"first_name": "MALISSIA",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "8043",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3649",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.