Active NPI
Audra Jean Moran, DC
- Chiropractor
- Atlanta, GA
National Provider Identifier
1376662866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007136
- Practice address
- 650 Hamilton Ave SE Ste C
Atlanta, GA 30312-3778 - Phone
- (404) 888-0666
- Fax
- (404) 888-0590
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR007136 | GA | Primary |
Addresses
Primary practice location
650 Hamilton Ave SE Ste C
Atlanta, GA 30312-3778
Mailing address
650 Hamilton Ave SE Ste C
Atlanta, GA 30312-3778
Phone (404) 888-0666
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
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR007136 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
650 Hamilton Ave SE
Ste C
Atlanta, GA 30312
Phone (404) 888-0666
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 and National Provider Directory roles.
-
- Chiropractor
- Atlanta, GA
- NPI 1205582343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635638400000",
"number": "1376662866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 HAMILTON AVE SE STE C",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303123778",
"telephone_number": "404-888-0666",
"fax_number": "404-888-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 HAMILTON AVE SE STE C",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303123778",
"telephone_number": "404-888-0666",
"fax_number": "404-888-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "AUDRA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2021-10-31",
"certification_date": "2021-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007136",
"primary": true
}
],
"identifiers": [],
"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 Oct 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.