Individual provider Active NPI

Adriana Bedford, D.C.

  • Pediatric Chiropractor
  • Kennesaw, GA
National Provider Identifier
1437507746
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
CHIR0009694 Issued in GA
Practice address
2750 Jiles Rd NW Ste 105
Kennesaw, GA 30144-7330
Phone
(770) 420-0492
Fax
(770) 420-0522
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X CHIR0009694 GA Primary

Addresses

Primary practice location

2750 Jiles Rd NW Ste 105
Kennesaw, GA 30144-7330

Mailing address

574 Berkeley LN NE
Kennesaw, GA 30144-1665
Phone (404) 909-4330

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frontdesk@exodushc.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR0009694GAMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Exodus Health Center PastSince Nov 1, 2020 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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1437507746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 BERKELEY LN NE",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441665",
            "telephone_number": "404-909-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 JILES RD NW STE 105",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447330",
            "telephone_number": "770-420-0492",
            "fax_number": "770-420-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDFORD",
        "first_name": "ADRIANA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "GA",
            "license": "CHIR0009694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@exodushc.com",
            "affiliation": "N",
            "address_1": "2750 Jiles Rd NW Ste 105",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301447330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.