Organization Active NPI

Vitality Rehab Center

  • Chiropractor
  • Decatur, GA
National Provider Identifier
1639450364
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VITALITY REHAB CENTER
Practice address
4191 Snapfinger Woods Dr Ste D
Decatur, GA 30035-3432
Phone
(404) 288-4347
Fax
(404) 288-4057
NPI assigned
Sep 8, 2011
Last updated
Sep 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Mr. Kobie Okera Greenwood
Title
Office Manager
Phone
(404) 288-4347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X GA Primary

Addresses

Primary practice location

4191 Snapfinger Woods Dr Ste D
Decatur, GA 30035-3432

Mailing address

4191 Snapfinger Woods Dr Ste D
Decatur, GA 30035-3432
Phone (404) 288-4347

National Provider Directory

National Provider Directory

Locations

4191 Snapfinger Woods Dr
Ste D
Decatur, GA 30035
Phone (404) 288-4347

3138 Golf Ridge Blvd
Ste 201
Douglasville, GA 30135
Phone (678) 903-4470

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1639450364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 SNAPFINGER WOODS DR STE D",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353432",
            "telephone_number": "404-288-4347",
            "fax_number": "404-288-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 SNAPFINGER WOODS DR STE D",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353432",
            "telephone_number": "404-288-4347",
            "fax_number": "404-288-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "KOBIE",
        "authorized_official_middle_name": "OKERA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-288-4347",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": null,
            "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 Sep 8, 2011; 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.