Active NPI
Maria J Leyva, D.C.
- Chiropractor
- Norcross, GA
National Provider Identifier
1619205705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR005705
- Practice address
- 1568 Indian Trail Lilburn Rd
Suite 105
Norcross, GA 30093-2613 - Phone
- (770) 696-2404
- Fax
- (770) 696-2135
- NPI assigned
- Dec 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR005705 | GA | Primary |
Addresses
Primary practice location
1568 Indian Trail Lilburn Rd
Suite 105
Norcross, GA 30093-2613
Mailing address
1568 Indian Trail Lilburn Rd
Suite 105
Norcross, GA 30093-2613
Phone (770) 696-2404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100902000607 | GA | Practitioner - Chiropractic | 9436273067 | Practice locations: Loganville, GA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5705 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Fold Chiropractic & Wellness Center PC | Chiropractor | Current | Accepting new patients |
| Maxliving Norcross LLC | Chiropractor | Past | Accepting new patients |
| Injury and Rehab Centers of Georgia, LLC | Chiropractor | Past | Accepting new patients |
Locations
120 Camp St
Ste A
Loganville, GA 30052
Phone (770) 466-3344
Organizations & group practices 3
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.
-
- Chiropractor
- Loganville, GA
- NPI 1124649314
-
- Chiropractor
- Norcross, GA
- NPI 1063945947
-
- Chiropractor
- Norcross, GA
- NPI 1831044932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1619205705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1568 INDIAN TRAIL LILBURN RD",
"address_2": "SUITE 105",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300932613",
"telephone_number": "770-696-2404",
"fax_number": "770-696-2135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1568 INDIAN TRAIL LILBURN RD",
"address_2": "SUITE 105",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300932613",
"telephone_number": "770-696-2404",
"fax_number": "770-696-2135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEYVA",
"first_name": "MARIA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR005705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.