Individual provider Active NPI

Jennifer Janelle Taylor, D.C.

  • Chiropractor
  • Dallas, GA
National Provider Identifier
1508733395
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR066569 Issued in GA
Practice address
110 Evans Mill Dr Ste 309
Dallas, GA 30157-1623
Phone
(470) 464-7733
Fax
(678) 880-6617
NPI assigned
Oct 17, 2025
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 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 CHIR066569 GA Primary

Addresses

Primary practice location

110 Evans Mill Dr Ste 309
Dallas, GA 30157-1623

Mailing address

39 Trammell St SW Apt 15
Marietta, GA 30064-3275
Phone (770) 585-6030

Other names 1

  • Mrs. Jennifer Taylor Kashani Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204004350 GA Practitioner - Chiropractic 7810476306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Hickory Rd
Holly Springs, GA 30115-9600

PO Box
Suite 1126
Roswell, GA 30077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR066569GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Chiropractic and Massage, PC Chiropractor CurrentSince Dec 14, 2025 Accepting new patients

Locations

110 Evans Mill Dr
Ste 309
Dallas, GA 30157
Phone (470) 464-7733

120 Hickory Rd
Holly Springs, GA 30115
Phone (670) 880-6616

4255 Wade Green Rd NW
Ste 215
Kennesaw, GA 30144
Phone (670) 880-6616

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1508733395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 TRAMMELL ST SW APT 15",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643275",
            "telephone_number": "770-585-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EVANS MILL DR STE 309",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571623",
            "telephone_number": "470-464-7733",
            "fax_number": "678-880-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNIFER",
        "middle_name": "JANELLE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR066569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KASHANI",
            "middle_name": "TAYLOR",
            "prefix": "MRS.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.