Individual provider Active NPI

Amy Elizabeth Valente, D.C

  • Chiropractor
  • Acworth, GA
National Provider Identifier
1275869182
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
111NR0400X Issued in GA
Practice address
3451 Cobb Pkwy NW Ste 6
Acworth, GA 30101-4000
Phone
(678) 574-5678
Fax
(678) 574-5605
NPI assigned
Oct 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 111NR0400X GA Primary

Addresses

Primary practice location

3451 Cobb Pkwy NW Ste 6
Acworth, GA 30101-4000

Mailing address

3451 Cobb Pkwy NW Ste 6
Acworth, GA 30101-4000
Phone (678) 574-5678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091123000520 GA Practitioner - Chiropractic 0749328649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Cobb Spine and Nerve Institute LLCGroup PAC ID 8527283134, 3 clinicians

Practice addresses (Care Compare)

3451 Cobb Pkwy NW
Suite 4
Acworth, GA 30101-4000
Phone (678) 574-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111NR0400XGAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
North Cobb Spine and Nerve Institute, LLC CurrentSince Apr 1, 2017 Accepting new patients

Locations

3451 Cobb Pkwy NW
Ste 4
Acworth, GA 30101
Phone (678) 574-5678

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": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1275869182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 COBB PKWY NW STE 6",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014000",
            "telephone_number": "678-574-5678",
            "fax_number": "678-574-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 COBB PKWY NW STE 6",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014000",
            "telephone_number": "678-574-5678",
            "fax_number": "678-574-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTE",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "111NR0400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.