Organization Active NPI

Healing Hand Clinic Inc

  • Clinic/Center
  • Cartersville, GA
National Provider Identifier
1457725079
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CHIR006261 Issued in GA
Legal business name
HEALING HAND CLINIC INC
Practice address
680 Douthit Ferry Rd
Suite 103
Cartersville, GA 30120-4150
Phone
(770) 387-3161
Fax
(770) 387-3162
NPI assigned
Nov 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Dr. Ladenna L Russell, D.C.NPI 1790843472
Title
President
Phone
(770) 387-3161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CHIR006261 GA Primary

Addresses

Primary practice location

680 Douthit Ferry Rd
Suite 103
Cartersville, GA 30120-4150

Mailing address

680 Douthit Ferry Rd
Suite 103
Cartersville, GA 30120-4150
Phone (770) 387-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160217001583 GA Part B Supplier - Clinic/Group Practice 4284939984 Receives reassigned benefits from 1 practitioner
Practice locations: Cartersville, GA

National Provider Directory

National Provider Directory

Locations

680 Douthit Ferry Rd
Ste 103
Cartersville, GA 30120
Phone (770) 387-3161

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1457725079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 DOUTHIT FERRY RD",
            "address_2": "SUITE 103",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301204150",
            "telephone_number": "770-387-3161",
            "fax_number": "770-387-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 DOUTHIT FERRY RD",
            "address_2": "SUITE 103",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301204150",
            "telephone_number": "770-387-3161",
            "fax_number": "770-387-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HAND CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "LADENNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-387-3161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CHIR006261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.