Adrian Collazo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010034 Issued in GA

Practice address

1068 Laurel Valley Dr SW
Marietta, GA 30064-3972

Phone

(787) 918-5191

NPI assigned

Mar 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pop Health, LLC

  • Chiropractor
  • San Juan, PR
  • NPI 1194338574
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Presbyterian Community Hospital, Inc

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1770580813
  Care Compare affiliation

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1487157343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 LAUREL VALLEY DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643972",
            "telephone_number": "787-450-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 LAUREL VALLEY DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643972",
            "telephone_number": "787-918-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudi Maria Coleman, L.C.S.W.
• Pamela G Colemon, LPN
• Joan Michelle Coles, MS APC
• Jeffrey C Colier, AA
• Diane Coll, LPC, MT-BC
• Colleen L Hagan LCSW Inc
• Colleen Walsh, LPC, LLC
• Thomas A Collentine, MD
• Alea Collier
• Kelsey Margaret Collier

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.