Jose Antonio Alvarez, D.C., C.C.S.M.P.
Individual provider Active NPI Sports Physician Chiropractor · Decatur, GA
NPI 1659329035 · NPPES record last updated Dec 8, 2011
Key facts
- NPI
- 1659329035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Physician Chiropractor 111NS0005X
- License
- 5496 (GA)
- Practice address
- 3424 Flat Shoals Rd
Suite B
Decatur, GA 30034-6525 - Phone
- (404) 241-5304
- Fax
- (404) 241-9388
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3424 Flat Shoals Rd
Decatur, GA 30034-6525
Phone (404) 241-5304
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111229000487 | GA | Practitioner - Chiropractic | 0446224687 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5496 | GA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Health Unlimited | Current |
Accepting new patients |
Locations
3424 Flat Shoals Rd
Ste B
Decatur, GA 30034
Phone (404) 241-5121
3424 Flat Shoals Rd
Decatur, GA 30034
Phone (404) 241-5304
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 5496 | GA | Yes |
Addresses
Primary practice location
3424 Flat Shoals Rd
Suite B
Decatur, GA 30034-6525
Mailing address
3424 Flat Shoals Rd
Suite B
Decatur, GA 30034-6525
Phone (404) 241-5304
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00970912A | Medicaid | GA |
Other providers in Decatur, GA
- Alphacare Support Coordination, LLC
- Alpine Transportation
- Alternative Research & Development Services, Inc
- Dana Altman
- Altrus LLC
- Victor M Alvarez
- Amanda Losito LLC
- Amazing Pediatrics
- Nayana Yashwant Ambardekar
- Ambassador of Angels Inc.
All providers in Decatur, GA · Sports Physician 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 Dec 8, 2011. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.