Active NPI
Mason Mill Chiropractic LLC
- Chiropractor
- Decatur, GA
National Provider Identifier
1295445187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MASON MILL CHIROPRACTIC LLC
- Practice address
- 1275 McConnell Dr Ste E
Decatur, GA 30033-3505 - Phone
- (404) 321-0082
- Fax
- (404) 321-2007
- NPI assigned
- Dec 1, 2022
- 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
- Dr. Richard Cohen, D.C.
- Title
- Chiropractor
- Phone
- (321) 544-9645
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1275 McConnell Dr Ste E
Decatur, GA 30033-3505
Mailing address
1275 McConnell Dr Ste E
Decatur, GA 30033-3505
Phone (404) 321-0082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1275 McConnell Dr
Ste E
Decatur, GA 30033
Phone (404) 321-0080
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Chiropractor
- Decatur, GA
- NPI 1467859868
-
- Chiropractor
- Buford, GA
- NPI 1043668361
-
- Chiropractor
- Decatur, GA
- NPI 1942317102
-
- Chiropractor
- Williamsburg, VA
- NPI 1124030671
-
- Chiropractor
- Philadelphia, PA
- NPI 1982898037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669852800000",
"number": "1295445187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 MCCONNELL DR STE E",
"city": "DECATUR",
"state": "GA",
"postal_code": "300333505",
"telephone_number": "404-321-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 MCCONNELL DR STE E",
"city": "DECATUR",
"state": "GA",
"postal_code": "300333505",
"telephone_number": "404-321-0082",
"fax_number": "404-321-2007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASON MILL CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-01",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "321-544-9645",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 1, 2022; 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.