Individual provider Active NPI

Chad Avery Hyatt, D.C.

  • Chiropractor
  • Suwanee, GA
National Provider Identifier
1619054707
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6040 Issued in GA
Practice address
2950 Horizon Park Dr
Suite C
Suwanee, GA 30024-7250
Phone
(770) 237-3300
Fax
(770) 904-3785
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6040 GA Primary

Addresses

Primary practice location

2950 Horizon Park Dr
Suite C
Suwanee, GA 30024-7250

Mailing address

2950 Horizon Park Dr
Suite C
Suwanee, GA 30024-7250
Phone (770) 237-3300

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
6040GAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1619054707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 HORIZON PARK DR",
            "address_2": "SUITE C",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247250",
            "telephone_number": "770-237-3300",
            "fax_number": "770-904-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 HORIZON PARK DR",
            "address_2": "SUITE C",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247250",
            "telephone_number": "770-237-3300",
            "fax_number": "770-904-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "CHAD",
        "middle_name": "AVERY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.