Concord Accident & Injury LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CONCORD ACCIDENT & INJURY LLC

Practice address

1105 Concord Rd SE
Smyrna, GA 30080-4207

Phone

(770) 432-5433

NPI assigned

Oct 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Kohout

Title

President

Phone

(404) 468-5543

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528144870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550029",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303552529",
            "telephone_number": "404-468-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804207",
            "telephone_number": "770-432-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD ACCIDENT & INJURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOHOUT",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-468-5543"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.