Active NPI
Philip Lloyd Wright, DC
- Chiropractor
- Kennesaw, GA
National Provider Identifier
1649359936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 005752
- Practice address
- 3745 Cherokee St NW
# 606
Kennesaw, GA 30144-6733 - Phone
- (770) 795-3144
- Fax
- (770) 795-3142
- NPI assigned
- Nov 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 005752 | GA | Primary |
Addresses
Primary practice location
3745 Cherokee St NW
# 606
Kennesaw, GA 30144-6733
Mailing address
231 Twisted Timber CT
Woodstock, GA 30189-3782
Phone (770) 592-3552
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 |
|---|---|---|---|
| 5752 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649359936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 TWISTED TIMBER CT",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301893782",
"telephone_number": "770-592-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3745 CHEROKEE ST NW",
"address_2": "# 606",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301446733",
"telephone_number": "770-795-3144",
"fax_number": "770-795-3142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "PHILIP",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "005752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.