Individual provider Active NPI

Vernette C Kountz, DC

  • Chiropractor
  • Austell, GA
National Provider Identifier
1487300729
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010745 Issued in GA
Practice address
3875 Austell Rd Ste 301
Austell, GA 30106-1153
Phone
(404) 793-0704
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010745 GA Primary

Addresses

Primary practice location

3875 Austell Rd Ste 301
Austell, GA 30106-1153

Mailing address

2475 Cobb Pkwy SE # 550
Smyrna, GA 30080-3000
Phone (404) 793-0704

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110002992 GA Practitioner - Chiropractic 2466822325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kountz Wellness Collective Co. LLC Chiropractor CurrentSince Feb 9, 2025 Accepting new patients

Locations

3875 Austell Rd
Ste 301
Austell, GA 30106
Phone (404) 793-0704

2475 Cobb Pkwy SE
#550
Smyrna, GA 30080

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1487300729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 COBB PKWY SE # 550",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803000",
            "telephone_number": "404-793-0704",
            "fax_number": "404-760-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 AUSTELL RD STE 301",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061153",
            "telephone_number": "404-793-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUNTZ",
        "first_name": "VERNETTE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.