Shelly R Malucci, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009206 Issued in GA

Practice address

925 Woodstock Rd Ste 102
Roswell, GA 30075-2208

Phone

(770) 626-0326

Fax

(888) 218-5978

NPI assigned

Oct 13, 2011

Last updated

Oct 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Awan and Associates PC

  • Family Medicine Physician
  • Allen Park, MI
  • NPI 1215960497
  NPD (past)
• Porter & Clark Chiropractic PLLC

  • Chiropractor
  • Flat Rock, MI
  • NPI 1316009756
  NPD (past)

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1407131147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 WOODSTOCK RD STE 102",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752208",
            "telephone_number": "678-896-2783",
            "fax_number": "888-218-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WOODSTOCK RD STE 102",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752208",
            "telephone_number": "770-626-0326",
            "fax_number": "888-218-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALUCCI",
        "first_name": "SHELLY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjali Malhotra
• Callie Mallett
• Natalie Malone, PT, DPT
• Hillary Maloney, PA-C
• Alan Maloon, M.D.
• Natasha Mamdani, M.D.
• Angela Blanco Mandel, LCSW
• Nicole Sapone Mandrycky, AGACNP-BC
• Nagender Mankan, M.D.
• Anil Davanand Mankee, M.B.B.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.