Michael Fenster, D.C.

Individual provider Active NPI Chiropractor · Avondale Estates, GA

NPI 1407248362 · NPPES record last updated Jan 30, 2024

Key facts

NPI
1407248362
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
010390 (GA)
Practice address
8 N Clarendon Ave Ste 300
Avondale Estates, GA 30002-1150
Phone
(404) 242-2164
NPI assigned
Mar 2, 2015
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare Care Compare profile

Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

551 Madison Ave
Suite 1201
New York, NY 10022-3212

8 N Clarendon Ave
Suite 300
Avondale Estates, GA 30002-1150

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260303002810 NY Practitioner - Chiropractic 0042792780 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
70 012583NYMDChiropractor
010390GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Wellness Medical PC Chiropractor Current
since Jan 1, 2026
Accepting new patients

Locations

551 Madison Ave
Ste 1201
New York, NY 10022
Phone (212) 737-0000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 70 012583 NY
Chiropractor 111N00000X 010390 GA Yes

Addresses

Primary practice location

8 N Clarendon Ave Ste 300
Avondale Estates, GA 30002-1150

Mailing address

8 N Clarendon Ave Ste 300
Avondale Estates, GA 30002-1150
Phone (404) 242-2164

Other providers in Avondale Estates, GA

All providers in Avondale Estates, GA · Chiropractor in Georgia

Sources for this page

Verify at the official NPI Registry.