NPIMap

Individual provider Active NPI

Evelyn Flemons, D.C.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1578853677
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008767 Issued in GA
Practice address
2359 Windy Hill Rd SE
Suite 320
Marietta, GA 30067-8638
Phone
(770) 988-0033
Fax
(770) 988-0220
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008767 GA Primary

Addresses

Primary practice location

2359 Windy Hill Rd SE
Suite 320
Marietta, GA 30067-8638

Mailing address

6223 Oakdale Ridge CT SE
Mableton, GA 30126-2921
Phone (770) 988-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008767GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cobb Pain and Rehabilitation Chiropractor Past Accepting new patients
Marietta Physical Rehab, L.L.C. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1578853677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 OAKDALE RIDGE CT SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262921",
            "telephone_number": "770-988-0033",
            "fax_number": "770-988-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 WINDY HILL RD SE",
            "address_2": "SUITE 320",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678638",
            "telephone_number": "770-988-0033",
            "fax_number": "770-988-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMONS",
        "first_name": "EVELYN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.