Organization Active NPI

Neck and Back Injury Clinic, LLC

  • Chiropractor
  • Jonesboro, GA
National Provider Identifier
1407284631
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007059 Issued in GA
Legal business name
NECK AND BACK INJURY CLINIC, LLC
Practice address
1287 Spur Highway 138
Suite 10
Jonesboro, GA 30236
Phone
(404) 494-0370
Fax
(404) 393-0691
NPI assigned
Oct 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Dr. Shawn Gerard Jones, DC
Title
Owner
Phone
(404) 494-0370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR007059 GA Primary

Addresses

Primary practice location

1287 Spur Highway 138
Suite 10
Jonesboro, GA 30236

Mailing address

5835 Campbellton Rd SW
Suite 204
Atlanta, GA 30331-8013
Phone (404) 494-0370

National Provider Directory

National Provider Directory

Locations

1287 Spur 138
Ste 10
Jonesboro, GA 30236
Phone (404) 494-0370

NPI Registry JSON

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1407284631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 CAMPBELLTON RD SW",
            "address_2": "SUITE 204",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318013",
            "telephone_number": "404-494-0370",
            "fax_number": "404-393-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 SPUR HIGHWAY 138",
            "address_2": "SUITE 10",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "30236",
            "telephone_number": "404-494-0370",
            "fax_number": "404-393-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECK AND BACK INJURY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-494-0370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.