Individual provider Active NPI

Michelle Oz, D.C.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1528515525
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009753 Issued in GA
Practice address
3000 Johnson Ferry Rd
Suite 102
Marietta, GA 30062-5683
Phone
(770) 552-7979
NPI assigned
Sep 7, 2016
Last updated
Sep 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009753 GA Primary

Addresses

Primary practice location

3000 Johnson Ferry Rd
Suite 102
Marietta, GA 30062-5683

Mailing address

1175 Old Harris Rd Apt 910
Dallas, GA 30157-8263
Phone (248) 826-9880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180620002093 GA Practitioner - Chiropractic 4587919360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1690 Stone Village LN NW
Suite 702
Kennesaw, GA 30152-7777
Phone (470) 308-3754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009753GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Michelle Oz LLC D/B/a Momentum Chiropractic Chiropractor CurrentSince Jan 1, 2018 Accepting new patients
Raymond Gaskey D.C. P.C. Past Accepting new patients

Locations

1690 Stone Village Ln NW
Ste 702
Kennesaw, GA 30152
Phone (470) 308-3754

3900 Legacy Park Blvd NW
Ste C200
Kennesaw, GA 30144
Phone (470) 308-3754

Organizations & group practices 2

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1528515525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 OLD HARRIS RD APT 910",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301578263",
            "telephone_number": "248-826-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 JOHNSON FERRY RD",
            "address_2": "SUITE 102",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625683",
            "telephone_number": "770-552-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZ",
        "first_name": "MICHELLE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.