Enhanced Wellness Clinics

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007877 Issued in GA

Legal business name

ENHANCED WELLNESS CLINICS

Practice address

6395 McGinnis Ferry Rd Ste 301
Johns Creek, GA 30005-3673

Phone

(770) 552-7500

Fax

(888) 819-9318

NPI assigned

Oct 7, 2016

Last updated

Oct 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Rafael Eisen, D.C.

Title

Clinical Director

Phone

(770) 552-7500

Specialties & licenses 3

Addresses

Tax ID family

Enhanced Wellness Clinics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Enhanced Wellness Chiropractic

  • Chiropractor
  • Johns Creek, GA
  • NPI 1104379676
  NPD tax ID
• Enhanced Wellness Clinics

  • Chiropractor
  • Roswell, GA
  • NPI 1801346705
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Klariss Cotto, B.S., D.C.

  • Chiropractor
  • Denver, CO
  • NPI 1548714702
  NPD (past)

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1396295952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6395 MCGINNIS FERRY RD STE 301",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300053673",
            "telephone_number": "770-552-7500",
            "fax_number": "888-819-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6395 MCGINNIS FERRY RD STE 301",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300053673",
            "telephone_number": "770-552-7500",
            "fax_number": "888-819-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED WELLNESS CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "EISEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "770-552-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007877",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009680",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emory Physical Therapy, LLC
• Emory Specialty Associates-Anesthesia
• Empire Health Care Services (Comfort Keepers)
• Endocrinology and Diabetes of Georgia, P.C
• Enhanced Wellness Chiropractic
• Syamala D Erramilli, MD
• Valentina Espinosa, D.M.D.
• Etheric Glo & Co.LLC (Etheric Glo Beauty & Wellness)
• Madison Exum, PA-C
• Olabisi Fashuyi Fafore

• Chiropractor in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.