Active NPI
Alliance Spine and Physical Medicine
- Chiropractor
- Woodstock, GA
National Provider Identifier
1306672902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ALLIANCE SPINE AND PHYSICAL MEDICINE
- Practice address
- 12045 Highway 92
Woodstock, GA 30188-4499 - Phone
- (404) 934-7367
- NPI assigned
- Sep 10, 2024
- 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
- Michael Zoeller
- Title
- Owner
- Phone
- (678) 469-6939
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
12045 Highway 92
Woodstock, GA 30188-4499
Mailing address
105 Waters Edge Dr
Woodstock, GA 30188-5695
Phone (404) 934-7367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241127003819 | GA | Part B Supplier - Clinic/Group Practice | 9638604630 |
Receives reassigned benefits from 4 practitioners Practice locations: Woodstock, GA |
National Provider Directory
National Provider DirectoryLocations
12045 Highway 92
Woodstock, GA 30188
Phone (404) 644-9615
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Alpharetta, GA
- NPI 1093892929
-
- Chiropractor
- Alpharetta, GA
- NPI 1124627260
-
- Chiropractor
- Woodstock, GA
- NPI 1295557189
-
- Chiropractor
- Woodstock, GA
- NPI 1275007692
-
- Massage Therapist
- Woodstock, GA
- NPI 1881524932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725926400000",
"number": "1306672902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WATERS EDGE DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301885695",
"telephone_number": "404-934-7367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12045 HIGHWAY 92",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301884499",
"telephone_number": "404-934-7367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE SPINE AND PHYSICAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-10",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A",
"authorized_official_last_name": "ZOELLER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-469-6939"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.