Decatur Spine & Joint Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DECATUR SPINE & JOINT CENTER, LLC

Practice address

3755 Memorial Dr
Decatur, GA 30032-2459

Phone

(470) 870-9300

Fax

(404) 393-8885

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Bernard Cooper, DCNPI 1699719732

Title

Member

Phone

(877) 495-7773

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen B Cooper, D.C.

  • Chiropractor
  • Phenix City, AL
  • NPI 1699719732
  NPD (past) Authorized official
• Edward Hunt, D.C.

  • Chiropractor
  • Jackson, MS
  • NPI 1255567459
  NPD (past)

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1457081226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1601",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368681601",
            "telephone_number": "334-298-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 MEMORIAL DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322459",
            "telephone_number": "470-870-9300",
            "fax_number": "404-393-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR SPINE & JOINT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "877-495-7773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Decatur Pain & Rehab
• Decatur Physical Therapy & Sports Medicine
• Decatur Psychology, LLC
• Decatur Recovery Services, Inc.
• Decatur Rehab Center, LLC
• Decatur Urology Surgery Center
• Decatur Weightloss & Pain Center LLC
• Decatur Wellness Services, Inc.
• Catherine Gray Deering, PH.D.
• Margaret Defillippo

• Chiropractor in Decatur, GA
• Providers in Decatur, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.