Active NPI
Mona Elaine Reynolds, D C
- Chiropractor
- Atlanta, GA
National Provider Identifier
1649348962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1985
- Practice address
- 3079 Campbellton Road
Suite 205
Atlanta, GA 30311 - Phone
- (404) 344-8055
- NPI assigned
- Dec 4, 2006
- Last updated
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 1985 | GA | Primary |
Addresses
Primary practice location
3079 Campbellton Road
Suite 205
Atlanta, GA 30311
Mailing address
P.O. Box 311127
Atlanta, GA 31131
Phone (404) 344-8055
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1985 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1649348962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 311127",
"city": "ATLANTA",
"state": "GA",
"postal_code": "31131",
"telephone_number": "404-344-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3079 CAMPBELLTON ROAD",
"address_2": "SUITE 205",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30311",
"telephone_number": "404-344-8055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "MONA",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "D C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "1985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.