Individual provider Active NPI

Austin Gerald Hollen, D.C.

  • Chiropractor
  • Johns Creek, GA
National Provider Identifier
1376897447
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009038 Issued in GA
Practice address
11030 Medlock Bridge Rd Ste 230
Johns Creek, GA 30097-3504
Phone
(678) 694-1113
Fax
(678) 694-1676
NPI assigned
Oct 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009038 GA Primary

Addresses

Primary practice location

11030 Medlock Bridge Rd Ste 230
Johns Creek, GA 30097-3504

Mailing address

5025 Winters Chapel Rd Ste H
Atlanta, GA 30360-1700
Phone (770) 399-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150622001614 GA Practitioner - Chiropractic 7618288366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11030 Medlock Bridge Rd
Suite 230
Johns Creek, GA 30097-3504
Phone (678) 694-1113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro at the Creek Chiropractor CurrentSince May 27, 2015 Accepting new patients
Afc Healthcare LLC Chiropractor PastSince May 26, 2024 Accepting new patients
100 Percent Nutrition LLC PastSince May 27, 2015 Accepting new patients
Ackerman Chiropractic Center, P.C. Chiropractor Past Accepting new patients

Locations

11030 Medlock Bridge Rd
Ste 230
Johns Creek, GA 30097
Phone (678) 694-1113

11030 Medlock Bridge Rd
#23
Johns Creek, GA 30097

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1376897447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 WINTERS CHAPEL RD STE H",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303601700",
            "telephone_number": "770-399-1800",
            "fax_number": "770-399-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 MEDLOCK BRIDGE RD STE 230",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973504",
            "telephone_number": "678-694-1113",
            "fax_number": "678-694-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEN",
        "first_name": "AUSTIN",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.