Functional Fitness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

008428 Issued in GA

Legal business name

FUNCTIONAL FITNESS, LLC

Practice address

244 Creekstone RDG
Woodstock, GA 30188-3732

Phone

(678) 494-9668

Fax

(678) 494-9771

NPI assigned

Apr 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jason Floyd Addison, D.C.NPI 1467649145

Title

Chiropractor

Phone

(678) 494-9668

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Floyd Addison, DC

  • Chiropractor
  • Kennesaw, GA
  • NPI 1467649145
  NPD (past) Authorized official

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1386888964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 CREEKSTONE RDG",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883732",
            "telephone_number": "678-494-9668",
            "fax_number": "678-494-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 CREEKSTONE RDG",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883732",
            "telephone_number": "678-494-9668",
            "fax_number": "678-494-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "678-494-9668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "008428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freedom Medical Consultants, LLC.
• Sandra Elaine Freeman, LVN
• John Foster Freemon, DMD
• David L French, DPT
• Clayton Michael Fulbright, DO
• Francisco D. Fuster, DC
• Katie Gable, DC
• Gage Chiropractic Clinics LLC
• Carla Gaines, RBT
• Amanda Marie Galagarza, SLP-CLINICAL FELLOW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.