Organization Active NPI

Spa Stinny LLC

  • Chiropractor
  • Snellville, GA
National Provider Identifier
1508583931
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPA STINNY LLC
Practice address
1630 Scenic Hwy N Ste Y
Snellville, GA 30078-5685
Phone
(404) 304-9698
NPI assigned
Oct 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Terry Stinson
Title
Corp MGR
Phone
(404) 304-9698

Specialties & licenses 1

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

Addresses

Primary practice location

1630 Scenic Hwy N Ste Y
Snellville, GA 30078-5685

Mailing address

1630 Scenic Hwy N Ste Y
Snellville, GA 30078-5685
Phone (678) 400-6711

National Provider Directory

National Provider Directory

Locations

1630 Scenic Hwy N
Ste Y
Snellville, GA 30078
Phone (404) 304-9698

Practitioners & affiliated clinicians

Practitioners 1

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": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1508583931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 SCENIC HWY N STE Y",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785685",
            "telephone_number": "678-400-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 SCENIC HWY N STE Y",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785685",
            "telephone_number": "404-304-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA STINNY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "STINSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CORP MGR",
        "authorized_official_telephone_number": "404-304-9698"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.