Organization Active NPI

Malina Chiropractic Clinic LLC

  • Chiropractor
  • Decatur, GA
National Provider Identifier
1295170215
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1234 Issued in GA
Legal business name
MALINA CHIROPRACTIC CLINIC LLC
Practice address
3826 N Druid Hills Rd
Decatur, GA 30033-3015
Phone
(404) 325-3609
Fax
(404) 325-8859
NPI assigned
May 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Mrs. Camille Jean Malina
Title
Office Manager
Phone
(404) 325-3609

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1234 GA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 08535 GA

Addresses

Primary practice location

3826 N Druid Hills Rd
Decatur, GA 30033-3015

Mailing address

3826 N Druid HL Rd
Decatur, GA 30033-3015
Phone (404) 326-3609

Other names 1

  • Malina Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131015000555 GA Part B Supplier - Clinic/Group Practice 6406080084 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, GA

National Provider Directory

National Provider Directory

Locations

3826 N Druid Hills Rd
Decatur, GA 30033
Phone (404) 325-3609

Practitioners & affiliated clinicians

Practitioners 1

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": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1295170215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3826 N DRUID HL RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333015",
            "telephone_number": "404-326-3609",
            "fax_number": "404-325-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 N DRUID HILLS RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333015",
            "telephone_number": "404-325-3609",
            "fax_number": "404-325-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALINA CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "MALINA",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-325-3609",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "1234",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "08535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malina Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.