Paola Alexandra Nieves Balaguer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010442 Issued in GA

Practice address

1503 Johnson Ferry Rd Ste 100
Marietta, GA 30062-9112

Phone

(678) 819-2556

NPI assigned

Nov 6, 2020

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": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1336740166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 DELK RD SE APT 27D",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675374",
            "telephone_number": "787-371-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 JOHNSON FERRY RD STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300629112",
            "telephone_number": "678-819-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES BALAGUER",
        "first_name": "PAOLA",
        "middle_name": "ALEXANDRA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mykenna Nichols, DO
• Austin Chandler Nicholson, M.D.
• Malia Nicholson, RBT
• Romero Nicholson, MD
• Carol Nicklen
• Niki Gori, LPC, LLC
• Tanya Nikolova, M.D.
• Laranda Ninomiya, RDH, BS
• Nilay Nirdosh, MD
• Nitin N. Mayur, MD D/B/a Wellstar Medical Specialists (WellStar Medical Specialists, LLC)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.