Individual provider Active NPI

Turner Dwayne Vincent, DC

  • Chiropractor
  • Sandy Springs, GA
National Provider Identifier
1558174565
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR011302 Issued in GA
Practice address
5600 Roswell Rd BLDG I
Sandy Springs, GA 30342-1194
Phone
(678) 832-2258
NPI assigned
Jan 31, 2025
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2827 AL
Chiropractor 111N00000X CHIR011302 GA Primary

Addresses

Primary practice location

5600 Roswell Rd BLDG I
Sandy Springs, GA 30342-1194

Mailing address

338 Robin LN SE
Marietta, GA 30067-7042
Phone (334) 714-9361

Other practice location 1

2970 Ross Clark Cir
Dothan, AL 36301-1106
Phone (334) 793-1081

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250220003715 GA Practitioner - Chiropractic 1951821982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Clinic of Ga PCGroup PAC ID 5395122675, 5 clinicians

Practice addresses (Care Compare)

5600 Roswell Rd
BLDG I
Sandy Springs, GA 30342-1194
Phone (952) 401-2336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2827ALMDProfessional Counselor
CHIR011302GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy LLC CurrentSince Aug 1, 2018 Accepting new patients
Life Clinic of Ga PC Chiropractor CurrentSince Mar 4, 2025 Accepting new patients

Locations

855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336

5600 Roswell Rd
Sandy Springs, GA 30342

5600 Roswell Rd
Bldg I
Sandy Springs, GA 30342
Phone (678) 832-2258

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": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1558174565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 ROBIN LN SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677042",
            "telephone_number": "334-714-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 ROSWELL RD BLDG I",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421194",
            "telephone_number": "678-832-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2970 Ross Clark Cir",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363011106",
            "country_code": "US",
            "telephone_number": "334-793-1081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "TURNER",
        "middle_name": "DWAYNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2827",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.