NPIMap

Organization Active NPI

Injury 2 Wellness Centers, PC

  • Chiropractor
  • Decatur, GA
National Provider Identifier
1295912251
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007109 Issued in GA
Legal business name
INJURY 2 WELLNESS CENTERS, PC
Practice address
4982 Covington Hwy
Decatur, GA 30035-2017
Phone
(404) 288-8433
Fax
(404) 288-8430
NPI assigned
Jan 22, 2008
Last updated
Sep 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Dr. Johnny A Garcia, DCNPI 1508870106
Title
Owner
Phone
(404) 288-8433

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)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007109 GA Primary

Addresses

Primary practice location

4982 Covington Hwy
Decatur, GA 30035-2017

Mailing address

4982 Covington Hwy
Decatur, GA 30035-2017
Phone (404) 288-8433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050715000739 GA Part B Supplier - Clinic/Group Practice 7416983911 Receives reassigned benefits from 2 practitioners
Practice locations: Norcross, GA; Lithia Springs, GA; Decatur, GA; Clarkston, GA; Jonesboro, GA

National Provider Directory

National Provider Directory

Locations

4982 Covington Hwy
Decatur, GA 30035
Phone (404) 288-8433

6348 Tara Blvd
Jonesboro, GA 30236
Phone (404) 288-8433

6087 Buford Hwy
Ste A
Norcross, GA 30071
Phone (404) 288-8433

Practitioners & affiliated clinicians

Practitioners 5

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": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1295912251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4982 COVINGTON HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300352017",
            "telephone_number": "404-288-8433",
            "fax_number": "404-288-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4982 COVINGTON HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300352017",
            "telephone_number": "404-288-8433",
            "fax_number": "404-288-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY 2 WELLNESS CENTERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-288-8433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007109",
            "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 Sep 22, 2010; 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.