Individual provider Active NPI

Aaron Russell, DC

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1306335872
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010056 Issued in GA
Practice address
1899 Powers Ferry Rd SE Ste 170
Atlanta, GA 30339-8523
Phone
(770) 627-5637
NPI assigned
May 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010056 GA Primary

Addresses

Primary practice location

1899 Powers Ferry Rd SE Ste 170
Atlanta, GA 30339-8523

Mailing address

990 Brookdale Dr
East Point, GA 30344-2881
Phone (615) 617-7630

Other practice location 1

990 Brookdale Dr
East Point, GA 30344-2881
Phone (615) 617-7630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010056GAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1306335872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 BROOKDALE DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442881",
            "telephone_number": "615-617-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 POWERS FERRY RD SE STE 170",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303398523",
            "telephone_number": "770-627-5637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Brookdale Dr",
            "address_purpose": "LOCATION",
            "city": "East Point",
            "state": "GA",
            "postal_code": "303442881",
            "country_code": "US",
            "telephone_number": "615-617-7630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "AARON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.