Active NPI
Amanda Paola Ruiz, DC
- Chiropractor
- Morrow, GA
National Provider Identifier
1629800370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR011236
- Practice address
- 1544 Southlake Pkwy Ste 9F
Morrow, GA 30260-3025 - Phone
- (678) 505-0000
- NPI assigned
- Aug 19, 2024
- 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 | CHIR011236 | GA | Primary |
Addresses
Primary practice location
1544 Southlake Pkwy Ste 9F
Morrow, GA 30260-3025
Mailing address
4414 Glenridge Stratford Dr
Atlanta, GA 30342-4932
Phone (787) 372-5669
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
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR011236 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1629800370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4414 GLENRIDGE STRATFORD DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303424932",
"telephone_number": "787-372-5669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 SOUTHLAKE PKWY STE 9F",
"city": "MORROW",
"state": "GA",
"postal_code": "302603025",
"telephone_number": "678-505-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "AMANDA",
"middle_name": "PAOLA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR011236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morrow, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.