Organization Active NPI

Meadows Family Chiropractic, LLC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1609135151
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008847 Issued in GA
Legal business name
MEADOWS FAMILY CHIROPRACTIC, LLC
Practice address
3750 Palladian Village Dr
Suite 330
Marietta, GA 30066-8200
Phone
(678) 485-1923
Fax
(770) 926-6899
NPI assigned
May 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Dr. Carmen A Meadows, D.C.
Title
Owner
Phone
(678) 485-1923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR008847 GA Primary

Addresses

Primary practice location

3750 Palladian Village Dr
Suite 330
Marietta, GA 30066-8200

Mailing address

1978 Sixes Rd
Canton, GA 30114-8953
Phone (678) 485-1923

Other identifiers 1

IdentifierTypeStateIssuer
202I356421OtherGAMEDICARE

National Provider Directory

National Provider Directory

Locations

3750 Palladian Village Dr
Ste 330
Marietta, GA 30066
Phone (678) 401-8207

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1609135151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 SIXES RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148953",
            "telephone_number": "678-485-1923",
            "fax_number": "770-926-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 PALLADIAN VILLAGE DR",
            "address_2": "SUITE 330",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300668200",
            "telephone_number": "678-485-1923",
            "fax_number": "770-926-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-485-1923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "202I356421",
            "state": "GA"
        }
    ],
    "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 May 3, 2012; 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.