Organization Active NPI

Utley Chiropractic Inc

  • Chiropractor
  • Stone Mountain, GA
National Provider Identifier
1265232128
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
UTLEY CHIROPRACTIC INC
Practice address
813 Main St
Stone Mountain, GA 30083-3620
Phone
(404) 292-2492
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Dr. Justin Utley, DCNPI 1548667249
Title
Owner
Phone
(404) 292-2492

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

813 Main St
Stone Mountain, GA 30083-3620

Mailing address

813 Main St
Stone Mountain, GA 30083-3620
Phone (404) 292-2492

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250411001025 GA Part B Supplier - Clinic/Group Practice 1355865338 Receives reassigned benefits from 1 practitioner
Practice locations: Stone Mountain, GA

National Provider Directory

National Provider Directory

Locations

813 Main St
Stone Mountain, GA 30083
Phone (404) 292-2492

Practitioners & affiliated clinicians

Practitioners 2

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": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1265232128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 MAIN ST",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833620",
            "telephone_number": "404-292-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 MAIN ST",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833620",
            "telephone_number": "404-292-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTLEY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "UTLEY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-292-2492",
        "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 Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.