Organization Active NPI

Ewing Chiropractic LLC

  • Chiropractor
  • Decatur, GA
National Provider Identifier
1639416423
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO 70081 Issued in GA
Legal business name
EWING CHIROPRACTIC LLC
Practice address
2417 Candler Rd
Decatur, GA 30032
Phone
(404) 661-6129
NPI assigned
Jan 14, 2013
Last updated
Jan 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Dr. Porcia Dawn Ewing, D.C.
Title
Doctor of Chiropractic/ Member
Phone
(404) 661-6129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO 70081 GA Primary

Addresses

Primary practice location

2417 Candler Rd
Decatur, GA 30032

Mailing address

3809 Brookwood Blvd
Rex, GA 30273
Phone (404) 661-6129

National Provider Directory

National Provider Directory

Locations

5040 Bill Gardner Pkwy
Ste 210
Locust Grove, GA 30248
Phone (678) 586-3592

6450 Evans Dr
Unit 788
Rex, GA 30273

5459 N Henry Blvd
Ste C
Stockbridge, GA 30281
Phone (678) 586-3592

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1639416423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 BROOKWOOD BLVD",
            "city": "REX",
            "state": "GA",
            "postal_code": "30273",
            "telephone_number": "404-661-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30032",
            "telephone_number": "404-661-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWING CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "PORCIA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/ MEMBER",
        "authorized_official_telephone_number": "404-661-6129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO 70081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.