Individual provider Active NPI

Katelyn Welp, DC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1316555402
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010331 Issued in GA
Practice address
3901 Roswell Rd Ste 208
Marietta, GA 30062-8810
Phone
(770) 509-9786
NPI assigned
Jul 15, 2020
Last updated
Jul 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR010331 GA Primary

Addresses

Primary practice location

3901 Roswell Rd Ste 208
Marietta, GA 30062-8810

Mailing address

2031 Shadowwood Dr
Marietta, GA 30066-4548

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010331GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Chiropractic LLC Chiropractor CurrentSince Oct 10, 2021 Accepting new patients

Locations

3901 Roswell Rd
Ste 208
Marietta, GA 30062
Phone (470) 357-6226

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1316555402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 SHADOWWOOD DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 ROSWELL RD STE 208",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628810",
            "telephone_number": "770-509-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELP",
        "first_name": "KATELYN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.