Active NPI
Jesus Emmanuel Andino Rodriguez, DC
- Chiropractor
- Atlanta, GA
National Provider Identifier
1548086135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CIR011229
- Practice address
- 5010 Paces Station Dr Unit 1
Atlanta, GA 30339-4055 - Phone
- (787) 215-6009
- NPI assigned
- Nov 27, 2024
- Sex
- Male
- Sole proprietor
- No
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 | CIR011229 | GA | Primary |
Addresses
Primary practice location
5010 Paces Station Dr Unit 1
Atlanta, GA 30339-4055
Mailing address
5010 Paces Station Dr Unit 1
Atlanta, GA 30339-4055
Phone (787) 215-6009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3208 Lantana Rd
Lantana, FL 33462-2432
Phone (561) 533-3884
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CIR011229 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midtown Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Midtown Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Locations
3208 Lantana Rd
Lantana, FL 33462
Phone (561) 439-7349
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 and National Provider Directory roles.
-
- Orthopedic Chiropractor
- Lantana, FL
- NPI 1003151473
-
- Chiropractor
- Lantana, FL
- NPI 1396357828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1548086135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 PACES STATION DR UNIT 1",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303394055",
"telephone_number": "787-215-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 PACES STATION DR UNIT 1",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303394055",
"telephone_number": "787-215-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDINO RODRIGUEZ",
"first_name": "JESUS",
"middle_name": "EMMANUEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-27",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CIR011229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.