Organization Active NPI

Wellspring Chiropractic PC

  • Chiropractor
  • Decatur, GA
National Provider Identifier
1528297520
Registry record updated Jul 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007660 Issued in GA
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

Updated by the provider on Jul 11, 2009

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.