Active NPI
Matthew Leone Meccia, D.C.
- Chiropractor
- Woodstock, GA
National Provider Identifier
1558694281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008540
- Practice address
- 139 Village Ctr W Ste 110
Woodstock, GA 30188-5434 - Phone
- (678) 744-6022
- Fax
- (770) 212-2020
- NPI assigned
- Sep 14, 2009
- 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 | CHIR008540 | GA | Primary |
Addresses
Primary practice location
139 Village Ctr W Ste 110
Woodstock, GA 30188-5434
Mailing address
139 Village Ctr W Ste 110
Woodstock, GA 30188-5434
Phone (678) 744-6022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 461017081 | Other | GA | CHIR008540 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
139 Village Ctr W
Suite 110
Woodstock, GA 30188-5434
Phone (678) 744-6022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activate Your Health Chiropractic and Wellness Center, LLC. | Chiropractor | Current | Accepting new patients |
Locations
1905 Woodstock Rd
Ste 7100
Roswell, GA 30075
Phone (678) 379-7882
139 Village Ctr W
Ste 110
Woodstock, GA 30188
Phone (676) 744-6022
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.
-
- Chiropractor
- Woodstock, GA
- NPI 1912244450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1558694281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 VILLAGE CTR W STE 110",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301885434",
"telephone_number": "678-744-6022",
"fax_number": "770-212-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 VILLAGE CTR W STE 110",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301885434",
"telephone_number": "678-744-6022",
"fax_number": "770-212-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECCIA",
"first_name": "MATTHEW",
"middle_name": "LEONE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-14",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIR008540",
"identifier": "461017081",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.