Atlas Chiropractic & Welness Center, LLC
Organization Active NPI Chiropractor · Homer, GA
NPI 1578833786 · NPPES record last updated Jun 7, 2012
Key facts
- NPI
- 1578833786
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIR008616 (GA)
- Legal business name
- ATLAS CHIROPRACTIC & WELNESS CENTER, LLC
- Practice address
- 1253 Historic Homer Hwy
Homer, GA 30547-2738 - Phone
- (706) 677-1010
- Fax
- (706) 677-1010
- NPI assigned
- Jan 4, 2012
- Organization subpart
- No
Authorized official
- Name
- K. Anthony Merati, D. C.
- Title
- Clinical Director/Owner
- Phone
- (706) 677-1010
Practitioners 2
-
K Anthony Merati, D.C.
-
Marta Maria Trujillo, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120109000795 | GA | Part B Supplier - Clinic/Group Practice | 4789850082 |
Receives reassigned benefits from 1 practitioner Practice locations: Duluth, GA; Homer, GA |
National Provider Directory
Locations
1253 Historic Homer Hwy
Homer, GA 30547
Phone (706) 667-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CHIR008616 | GA | Yes |
Addresses
Primary practice location
1253 Historic Homer Hwy
Homer, GA 30547-2738
Mailing address
1253 Historic Homer Hwy
Homer, GA 30547-2738
Phone (706) 677-1010
Other names
- Homer Family Chiropractor
Other providers in Homer, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.