NPIMap

Organization Active NPI

Georgia Sports Chiropractic

  • Sports Physician Chiropractor
  • Atlanta, GA
National Provider Identifier
1396886586
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
6980 Issued in GA
Legal business name
GEORGIA SPORTS CHIROPRACTIC
Practice address
754 Peachtree St NE Ste 105
Atlanta, GA 30308-1256
Phone
(404) 872-4878
Fax
(404) 872-4846
NPI assigned
Feb 9, 2007
Last updated
Sep 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Dr. Joshua H Glass, D.C.NPI 1245371426
Title
Owner
Phone
(404) 872-4878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 6980 GA Primary

Addresses

Primary practice location

754 Peachtree St NE Ste 105
Atlanta, GA 30308-1256

Mailing address

754 Peachtree St NE Ste 105
Atlanta, GA 30308-1256
Phone (404) 872-4878

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1396886586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 PEACHTREE ST NE STE 105",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081256",
            "telephone_number": "404-872-4878",
            "fax_number": "404-872-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 PEACHTREE ST NE STE 105",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081256",
            "telephone_number": "404-872-4878",
            "fax_number": "404-872-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SPORTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-872-4878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "6980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.