Fatima Lisseth Cruz Portillo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR066528 Issued in GA

Practice address

3133 Golf Ridge Blvd Ste 203
Douglasville, GA 30135-1994

Phone

(775) 409-8585

NPI assigned

Feb 25, 2026

Last updated

Feb 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1326992272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 BRAMBLE OAK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 GOLF RIDGE BLVD STE 203",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351994",
            "telephone_number": "775-409-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ PORTILLO",
        "first_name": "FATIMA",
        "middle_name": "LISSETH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR066528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads Church of Douglasville
• Roy Ervin Crowe Jr., D.D.S.P.C.
• Jennifer Ann Crumbley-Dodson, PSY.D.
• Alan Jay Crumpler, D.C.
• Crums a-1 Transport LLC
• Tatiana Elizabeth Cruz Portillo
• Analvis Cuesta, MSN, FNP
• Lakietta Culkin-Taylor, NP
• Justin Micheal Culp, HIS
• Taffey-Marie Alison Cunnien, LPC

• Chiropractor in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.