Organization Active NPI

Emerson Mobile Chiropractic LLC

  • Chiropractor
  • Cartersville, GA
National Provider Identifier
1295639763
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EMERSON MOBILE CHIROPRACTIC LLC
Practice address
380 Crown Dr SE Unit 7308
Cartersville, GA 30120-2278
Phone
(404) 245-9723
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Dr. Joshua R Widjaja, DCNPI 1891645370
Title
Owner
Phone
(404) 245-9723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

380 Crown Dr SE Unit 7308
Cartersville, GA 30120-2278

Mailing address

380 Crown Dr SE Unit 7308
Cartersville, GA 30120-2278
Phone (404) 245-9723

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1295639763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 CROWN DR SE UNIT 7308",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202278",
            "telephone_number": "404-245-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CROWN DR SE UNIT 7308",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202278",
            "telephone_number": "404-245-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERSON MOBILE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "WIDJAJA",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-245-9723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.