Active NPI
Karen I Mathiak, DC
- Chiropractor
- Griffin, GA
National Provider Identifier
1407926710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO02394
- Practice address
- 202 North Expressway
Griffin, GA 30223-2015 - Phone
- (770) 229-5433
- Fax
- (678) 692-8904
- NPI assigned
- Nov 8, 2006
- Last updated
- Aug 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO02394 | GA | Primary |
Addresses
Primary practice location
202 North Expressway
Griffin, GA 30223-2015
Mailing address
202 North Expressway
Griffin, GA 30223-2015
Phone (770) 229-5433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120229000594 | GA | Practitioner - Chiropractic | 7911165428 | Practice locations: Griffin, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
202 N Expressway
Griffin, GA 30223-2015
Phone (770) 229-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO02394 | GA | MD | Chiropractor |
| 2394 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoration Chiropractic & Wellness, LLC | Chiropractor | Past | Accepting new patients |
| Griffin Wellness Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Griffin, GA
- NPI 1902943590
-
- Chiropractor
- Griffin, GA
- NPI 1124977988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1407926710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 NORTH EXPRESSWAY",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302232015",
"telephone_number": "770-229-5433",
"fax_number": "678-692-8904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 NORTH EXPRESSWAY",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302232015",
"telephone_number": "770-229-5433",
"fax_number": "678-692-8904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIAK",
"first_name": "KAREN",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO02394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.