Active NPI
Wellspring Chiropractic PC
- Chiropractor
- Decatur, GA
National Provider Identifier
1528297520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007660
- Legal business name
- WELLSPRING CHIROPRACTIC PC
- Practice address
- 235 E Ponce de Leon Ave Ste 109
Decatur, GA 30030-3412 - Phone
- (404) 826-1425
- NPI assigned
- Jul 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shelaia Tajuan Payton, BS, DC
- Title
- Owner
- Phone
- (404) 826-1425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR007660 | GA | Primary |
Addresses
Primary practice location
235 E Ponce de Leon Ave Ste 109
Decatur, GA 30030-3412
Mailing address
235 E Ponce de Leon Ave Ste 109
Decatur, GA 30030-3412
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247270400000",
"number": "1528297520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 E PONCE DE LEON AVE STE 109",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 E PONCE DE LEON AVE STE 109",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303412",
"telephone_number": "404-826-1425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPRING CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-11",
"last_updated": "2009-07-11",
"status": "A",
"authorized_official_last_name": "PAYTON",
"authorized_official_first_name": "SHELAIA",
"authorized_official_middle_name": "TAJUAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-826-1425",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "BS, DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.