Active NPI
Ronald Stanisluas Wozniak III, DC
- Chiropractor
- Fairburn, GA
National Provider Identifier
1548972698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO10927
- Practice address
- 8470 Senoia Rd
Fairburn, GA 30213-2870 - Phone
- (770) 306-2520
- NPI assigned
- Dec 20, 2022
- Last updated
- Dec 20, 2022
- 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 | CHIRO10927 | GA | Primary |
Addresses
Primary practice location
8470 Senoia Rd
Fairburn, GA 30213-2870
Mailing address
2271 San Fernando PL SE
Smyrna, GA 30080-1439
Phone (770) 366-5758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO10927 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wozniak Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Solutions Healthcare LLC | Chiropractor | Past | Accepting new patients |
Locations
8470 Senoia Rd
Fairburn, GA 30213
Phone (770) 306-2520
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.
-
- Chiropractor
- Fairburn, GA
- NPI 1649137050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1548972698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2271 SAN FERNANDO PL SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300801439",
"telephone_number": "770-366-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8470 SENOIA RD",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302132870",
"telephone_number": "770-306-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOZNIAK",
"first_name": "RONALD",
"middle_name": "STANISLUAS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-20",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO10927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.