Active NPI
Albert J Divagno, D.C.
- Chiropractor
- Alpharetta, GA
National Provider Identifier
1538264635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- GA1707
- Practice address
- 3502 Old Milton Pkwy
Alpharetta, GA 30005-4458 - Phone
- (678) 879-4242
- Fax
- (678) 879-5411
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | GA1707 | GA | Primary |
Addresses
Primary practice location
3502 Old Milton Pkwy
Alpharetta, GA 30005-4458
Mailing address
3502 Old Milton Pkwy
Alpharetta, GA 30005-4458
Phone (678) 879-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA1707 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparlin Healthcare | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinic/Center
- Atlanta, GA
- NPI 1124567201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538264635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 OLD MILTON PKWY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054458",
"telephone_number": "678-879-4242",
"fax_number": "678-879-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 OLD MILTON PKWY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054458",
"telephone_number": "678-879-4242",
"fax_number": "678-879-5411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIVAGNO",
"first_name": "ALBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "GA1707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.