C.I.a. Chiropractor in Atlanta, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

C.I.A. CHIROPRACTOR IN ATLANTA, INC.

Practice address

2085 Metropolitan Pkwy SW
Atlanta, GA 30315-5926

Phone

(404) 305-0036

NPI assigned

Oct 12, 2017

Organization subpart

Yes

Parent organization

PRIME INTEGRATIVE HEALHAs reported in NPPES

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

Authorized official

Name

Nikeeta Moore

Title

Credentialing Specialist

Phone

(470) 497-8356

Specialties & licenses 1

Addresses

Part of

Prime Community Health

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1386155778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 METROPOLITAN PKWY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303155926",
            "telephone_number": "404-305-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 METROPOLITAN PKWY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303155926",
            "telephone_number": "404-305-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.I.A. CHIROPRACTOR IN ATLANTA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME INTEGRATIVE HEALH",
        "enumeration_date": "2017-10-12",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NIKEETA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "470-497-8356"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.