Individual provider Active NPI

Amber Elizabeth York, DC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1598010621
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO009025 Issued in GA
Practice address
3000 Windy Hill Rd SE Ste 204
Marietta, GA 30067-8430
Phone
(770) 988-8884
NPI assigned
Jul 15, 2012
Last updated
Dec 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO009025 GA Primary

Addresses

Primary practice location

3000 Windy Hill Rd SE Ste 204
Marietta, GA 30067-8430

Mailing address

3000 Windy Hill Rd SE Ste 204
Marietta, GA 30067-8430
Phone (770) 988-8884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130124000444 GA Practitioner - Chiropractic 4789838889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Towne Lake Family Chiropractic P.C.Group PAC ID 1355515222, 2 clinicians

Practice addresses (Care Compare)

1000 Wyngate Pkwy
Suite 200
Woodstock, GA 30189-6983
Phone (770) 592-1877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO009025GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Towne Lake Family Chiropractic P.C. Chiropractor CurrentSince Apr 1, 2014 Accepting new patients
Towne Lake Family Chiropractic Chiropractor Current Accepting new patients
Built in Health LLC Past Accepting new patients
Banks Chiropractic Center, PC Chiropractor Past Accepting new patients

Locations

1000 Wyngate Pkwy
Ste 200
Woodstock, GA 30189
Phone (770) 592-1877

Organizations & group practices 4

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": "1342310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1598010621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WINDY HILL RD SE STE 204",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678430",
            "telephone_number": "770-988-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WINDY HILL RD SE STE 204",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678430",
            "telephone_number": "770-988-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "AMBER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-15",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO009025",
            "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 Dec 20, 2012; 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.