Individual provider Active NPI

Mary K. Brittain, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1316018062
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR002556 Issued in GA
Practice address
957 W Marietta St NW
Atlanta, GA 30318-5282
Phone
(404) 817-9755
Fax
(404) 817-9756
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR002556 GA Primary

Addresses

Primary practice location

957 W Marietta St NW
Atlanta, GA 30318-5282

Mailing address

957 W Marietta St NW
Atlanta, GA 30318-5282
Phone (404) 817-9755

Other identifiers 2

IdentifierTypeStateIssuer
606956OtherGAACN
159492OtherGABLUE SHIELD GA

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
CHIR002556GAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316018062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 W MARIETTA ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185282",
            "telephone_number": "404-817-9755",
            "fax_number": "404-817-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 W MARIETTA ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185282",
            "telephone_number": "404-817-9755",
            "fax_number": "404-817-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITTAIN",
        "first_name": "MARY",
        "middle_name": "K.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "606956",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD  GA",
            "identifier": "159492",
            "state": "GA"
        }
    ],
    "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 Jul 8, 2007; 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.