Organization Active NPI

Southern Style Chiropractic, LLC

  • Clinic/Center
  • Kennesaw, GA
National Provider Identifier
1548569064
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CHIR008373 Issued in GA
Legal business name
SOUTHERN STYLE CHIROPRACTIC, LLC
Practice address
2950 Cherokee St NW
Ste 110
Kennesaw, GA 30144-2898
Phone
(678) 797-1201
Fax
(678) 797-1202
NPI assigned
Mar 23, 2011
Last updated
Mar 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Dr. Joshua Shane Lowery, D.C.NPI 1619123221
Title
Owner
Phone
(678) 797-1201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CHIR008373 GA Primary

Addresses

Primary practice location

2950 Cherokee St NW
Ste 110
Kennesaw, GA 30144-2898

Mailing address

2950 Cherokee St NW
Ste 110
Kennesaw, GA 30144-2898
Phone (678) 797-1201

National Provider Directory

National Provider Directory

Locations

2950 Cherokee St NW
Ste 110
Kennesaw, GA 30144
Phone (678) 797-1201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1548569064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 CHEROKEE ST NW",
            "address_2": "STE 110",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442898",
            "telephone_number": "678-797-1201",
            "fax_number": "678-797-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CHEROKEE ST NW",
            "address_2": "STE 110",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442898",
            "telephone_number": "678-797-1201",
            "fax_number": "678-797-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN STYLE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-797-1201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CHIR008373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.