Chanelle A Poulin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009361 Issued in GA

Practice address

2347 Brockett Rd
Tucker, GA 30084-4474

Phone

(770) 938-4606

NPI assigned

Jun 8, 2016

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

Practice roles

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.

• Complete Spine Solutions, PC

  • Chiropractor
  • Tucker, GA
  • NPI 1245419274
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1386093524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 BROCKETT RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 BROCKETT RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844474",
            "telephone_number": "770-938-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIN",
        "first_name": "CHANELLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shante Pool-Davis, PHARMD
• Madison Darby Poole
• Leslie A Pope, DO
• Nathan Lee Potter, PA
• Deborah L Pottinger, LPC, NCC
• Lindsey Erin Powell, COTA/L
• Karen Poynor, LPC, NCC
• Karissa NA'Shea Prater, LCSW
• Derrick Jones Prejean, RBT
• Gia Prelli, M.A., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.