Active NPI
Malina Chiropractic Clinic LLC
- Chiropractor
- Decatur, GA
National Provider Identifier
1295170215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1234
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1234 | GA | Primary |
| Chiropractor | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Decatur, GA
- NPI 1740513100
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.