James Killeen Jr., D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

006650 Issued in GA

Practice address

3570 Old Milton Pkwy
Alpharetta, GA 30005-4464

Phone

(678) 879-9019

Fax

(678) 879-9021

NPI assigned

May 27, 2020

Last updated

May 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heritage Wellness Center LLC

  • Chiropractor
  • Alpharetta, GA
  • NPI 1386878759
  Authorized official Same address or phone
• JTK Inc

  dba Heritage Chiropractic Wellness Center

  • Chiropractor
  • Alpharetta, GA
  • NPI 1306996665
  Authorized official Same address or phone
• Elevate Physical Therapy LLC

  • Physical Therapist
  • Alpharetta, GA
  • NPI 1760109219
  NPD

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1255954103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 OLD MILTON PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054464",
            "telephone_number": "678-879-9019",
            "fax_number": "678-879-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 OLD MILTON PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054464",
            "telephone_number": "678-879-9019",
            "fax_number": "678-879-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEEN",
        "first_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "006650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inderpreet Khuman, RPH, PHARMD
• Kidney Wellness Center
• Kids World Dentistry and Braces LLC
• Alexandria Paige Kieltyka, MS
• Vanessa Kiepura
• Nancy Kilpatrick, CSA
• Sun Young Kim Lee
• Susan Kim-Yeung
• Daniel Kim
• David Kim, PA-C

• Sports Physician Chiropractor in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Sports Physician Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.