Amr of PTC
Organization Active NPI Chiropractor · Peachtree City, GA
NPI 1659094597 · NPPES record last updated Sep 29, 2023
Key facts
- NPI
- 1659094597
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- AMR OF PTC
- Practice address
- 401 Dividend Dr Ste F
Peachtree City, GA 30269-1939 - Phone
- (949) 798-9840
- NPI assigned
- Sep 26, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Regina Vielma, DC
- Title
- Doctor
- Phone
- (949) 798-9840
Practitioners 1
-
Regina Vielma, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230124000735 | GA | Part B Supplier - Clinic/Group Practice | 0244601581 |
Receives reassigned benefits from 1 practitioner Practice locations: Peachtree City, GA |
National Provider Directory
Locations
211 Prime Pt
Ste 2C
Peachtree City, GA 30269
Phone (415) 472-1700
211 Prime Pt
Ste 2B
Peachtree City, GA 30269
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
401 Dividend Dr Ste F
Peachtree City, GA 30269-1939
Mailing address
401 Dividend Dr Ste F
Peachtree City, GA 30269-1939
Phone (949) 798-9840
Other providers in Peachtree City, GA
- Ally Imaging Services, LLC
- Megan Elizabeth Almond
- Lauren Alonso
- Asiyah Amador
- American Rehabilitation Associates, P.C.
- Nneamaka Prisca Anara
- David Lloyd Anders
- Bruce William Anderson
- Dionne Anderson
- Jaycee Anderson
All providers in Peachtree City, GA · Chiropractor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.