Organization Active NPI

Willow Nest Chiropractic LLC

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1386553840
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WILLOW NEST CHIROPRACTIC LLC
Practice address
11285 Elkins Rd Unit K1
Roswell, GA 30076-1259
Phone
(732) 610-5814
NPI assigned
Sep 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Dr. Eunna Lacerda Jesus, DC
Title
Owner
Phone
(732) 610-5814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

11285 Elkins Rd Unit K1
Roswell, GA 30076-1259

Mailing address

11285 Elkins Rd Unit K1
Roswell, GA 30076-1259
Phone (732) 610-5814

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1386553840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 ELKINS RD UNIT K1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761259",
            "telephone_number": "732-610-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 ELKINS RD UNIT K1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761259",
            "telephone_number": "732-610-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW NEST CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "LACERDA JESUS",
        "authorized_official_first_name": "EUNNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-610-5814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.