NPIMap

Organization Active NPI

Correcting Lives LLC

  • Chiropractor
  • Dunwoody, GA
National Provider Identifier
1427748870
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORRECTING LIVES LLC
Practice address
1713 Mount Vernon Rd
Dunwoody, GA 30338-4243
Phone
(404) 500-7266
NPI assigned
May 9, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Stefan Nichols, DCNPI 1598451767
Title
Chiropractor/Owner
Phone
(912) 432-1336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1713 Mount Vernon Rd
Dunwoody, GA 30338-4243

Mailing address

3740 Hermitage Dr
Berkeley Lake, GA 30096-3118
Phone (912) 432-1336

National Provider Directory

National Provider Directory

Locations

1713 Mount Vernon Rd
Dunwoody, GA 30338
Phone (404) 500-7266

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1427748870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 HERMITAGE DR",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300963118",
            "telephone_number": "912-432-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 MOUNT VERNON RD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384243",
            "telephone_number": "404-500-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTING LIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "912-432-1336",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.