Organization Active NPI

Wood Family Chiropractic, P.C.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1467636985
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005110 Issued in GA
Legal business name
WOOD FAMILY CHIROPRACTIC, P.C.
Practice address
929 Cobb Pkwy N
Suite 101
Marietta, GA 30062-2478
Phone
(770) 424-4804
Fax
(770) 424-0079
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Dr. Colleen N. Wood, D.C.
Title
Doctor
Phone
(770) 424-4804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 005110 GA Primary

Addresses

Primary practice location

929 Cobb Pkwy N
Suite 101
Marietta, GA 30062-2478

Mailing address

929 Cobb Pkwy N
Suite 101
Marietta, GA 30062-2411
Phone (770) 424-4804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050912000537 GA Part B Supplier - Clinic/Group Practice 5294768248 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Locations

929 Cobb Pkwy N
#101
Marietta, GA 30062
Phone (770) 424-4804

929 Cobb Pkwy N
Ste 101
Marietta, GA 30062
Phone (770) 424-4804

3417 Canton Rd
Bldg 2
Marietta, GA 30066
Phone (770) 424-4804

909 Cobb Pkwy N
Ste 101
Marietta, GA 30062
Phone (770) 424-4804

Practitioners & affiliated clinicians

Practitioners 2

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": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1467636985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 COBB PKWY N",
            "address_2": "SUITE 101",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622411",
            "telephone_number": "770-424-4804",
            "fax_number": "770-424-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 COBB PKWY N",
            "address_2": "SUITE 101",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622478",
            "telephone_number": "770-424-4804",
            "fax_number": "770-424-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "770-424-4804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "005110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.