Organization Active NPI

Injured Workers Assistance Network

  • Chiropractor
  • College Park, GA
National Provider Identifier
1568919421
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INJURED WORKERS ASSISTANCE NETWORK
Practice address
1657 Phoenix Blvd
Suite 5
College Park, GA 30349-5554
Phone
(713) 539-8175
NPI assigned
Sep 7, 2016
Last updated
Sep 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Winston TollettNPI 1497957328
Title
Regional Director
Phone
(713) 539-8175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

1657 Phoenix Blvd
Suite 5
College Park, GA 30349-5554

Mailing address

1657 Phoenix Blvd
Suite 5
College Park, GA 30349-5554
Phone (713) 539-8175

National Provider Directory

National Provider Directory

Locations

1657 Phoenix Blvd
Ste 5
College Park, GA 30349
Phone (713) 539-8175

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": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1568919421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 PHOENIX BLVD",
            "address_2": "SUITE 5",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495554",
            "telephone_number": "713-539-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 PHOENIX BLVD",
            "address_2": "SUITE 5",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495554",
            "telephone_number": "713-539-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURED WORKERS ASSISTANCE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "TOLLETT",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "713-539-8175"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.