Individual provider Active NPI

Jenna Williams, DC

  • Chiropractor
  • Alpharetta, GA
National Provider Identifier
1609334671
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010160 Issued in GA
Practice address
670 N Main St Ste 111
Alpharetta, GA 30009-2401
Phone
(404) 780-0681
NPI assigned
Mar 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010160 GA Primary

Addresses

Primary practice location

670 N Main St Ste 111
Alpharetta, GA 30009-2401

Mailing address

2075 Brookridge Ter
Alpharetta, GA 30004-1681
Phone (404) 780-0681

Other practice location 1

1899 Powers Ferry Rd SE Ste 170
Atlanta, GA 30339-8523
Phone (770) 627-5637

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210831001664 GA Practitioner - Chiropractic 4688070634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

670 N Main St
Suite 111
Alpharetta, GA 30009-2401
Phone (404) 780-0681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010160GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
J Williams DC LLC Chiropractor CurrentSince Aug 6, 2019 Accepting new patients
West Cobb Chiropractic Chiropractor Past Accepting new patients

Locations

670 N Main St
Ste 111
Alpharetta, GA 30009
Phone (404) 220-7866

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": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1609334671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 BROOKRIDGE TER",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041681",
            "telephone_number": "404-780-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N MAIN ST STE 111",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092401",
            "telephone_number": "404-780-0681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1899 Powers Ferry Rd SE Ste 170",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303398523",
            "country_code": "US",
            "telephone_number": "770-627-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.