Individual provider Active NPI

Magen Henry, DC

  • Chiropractor
  • Smyrna, GA
National Provider Identifier
1427524693
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010096 Issued in GA
Practice address
1675 Cumberland Pkwy SE Ste 205
Smyrna, GA 30080-6360
Phone
(678) 467-9413
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR010096 GA Primary

Addresses

Primary practice location

1675 Cumberland Pkwy SE Ste 205
Smyrna, GA 30080-6360

Mailing address

3201 Woodlands Dr SE
Smyrna, GA 30080-8422
Phone (678) 467-9413

Other practice location 1

2045 Rockbridge Rd
Stone Mountain, GA 30087-3551
Phone (770) 469-7330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010096GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Living Chiropractic and Wellness Center, Inc Single Specialty Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1427524693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 WOODLANDS DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808422",
            "telephone_number": "678-467-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 CUMBERLAND PKWY SE STE 205",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806360",
            "telephone_number": "678-467-9413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 Rockbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300873551",
            "country_code": "US",
            "telephone_number": "770-469-7330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MAGEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.