The Good Doctor, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIROO7597 Issued in GA

Legal business name

THE GOOD DOCTOR, LLC

Practice address

5370 Stone Mountain Hwy
Stone Mountain, GA 30087-3581

Phone

(770) 413-7771

Fax

(770) 413-7779

NPI assigned

Aug 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marina L. HarrisNPI 1952514945

Title

Chiropractor/Owner

Phone

(770) 413-7771

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Marina Leigh Harris, D.C.

  • Chiropractor
  • Stone Mountain, GA
  • NPI 1952514945
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1407002058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870903",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300870023",
            "telephone_number": "770-413-7771",
            "fax_number": "770-413-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 STONE MOUNTAIN HWY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873581",
            "telephone_number": "770-413-7771",
            "fax_number": "770-413-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD DOCTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "770-413-7771",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIROO7597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Stone Mountain, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.