Active NPI
Marietta Healthcare LLC
- General Practice Physician
- Marietta, GA
National Provider Identifier
1447440524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MARIETTA HEALTHCARE LLC
- Practice address
- 2551 Roswell Rd
Suite 415
Marietta, GA 30062-4762 - Phone
- (770) 565-2882
- Fax
- (770) 439-0297
- NPI assigned
- Jul 26, 2007
- Last updated
- Jul 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana Y Paine
- Title
- Office Manager
- Phone
- (770) 439-0198
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | GA | Primary |
Addresses
Primary practice location
2551 Roswell Rd
Suite 415
Marietta, GA 30062-4762
Mailing address
2551 Roswell Rd
Suite 415
Marietta, GA 30062-4762
Phone (770) 565-2882
National Provider Directory
National Provider DirectoryLocations
2551 Roswell Rd
Ste 415
Marietta, GA 30062
Phone (404) 620-4843
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.
-
- Chiropractor
- Marietta, GA
- NPI 1255522512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185408000000",
"number": "1447440524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 ROSWELL RD",
"address_2": "SUITE 415",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300624762",
"telephone_number": "770-565-2882",
"fax_number": "770-439-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2551 ROSWELL RD",
"address_2": "SUITE 415",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300624762",
"telephone_number": "770-565-2882",
"fax_number": "770-439-0297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIETTA HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-26",
"last_updated": "2007-07-26",
"status": "A",
"authorized_official_last_name": "PAINE",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "770-439-0198"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
- Marietta Family Chiropractic Inc
- Marietta Family Dental Care, P.C.
- Marietta Ga Opco LLC
- Marietta Health and Rehabilitation Center, Inc.
- Marietta Healthcare Associates, LLC (Southern Healthcare Associates)
- Marietta Imaging, LLC
- Marietta Medical & Wellness
- Marietta Medical Associates LLC
- Marietta Medical Group
- Marietta Medical Supplies Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.