Organization Active NPI

Collier Chiropractic

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1659511814
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO004774 Issued in GA
Legal business name
COLLIER CHIROPRACTIC
Practice address
857 Collier Rd NW Ste 6
Atlanta, GA 30318-2544
Phone
(404) 351-5933
Fax
(404) 351-5933
NPI assigned
Mar 2, 2009
Last updated
Mar 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Dr. Suzanne M. Rivchun, DC.NPI 1205961984
Title
Chiropractor/President
Phone
(404) 351-5933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO004774 GA Primary

Addresses

Primary practice location

857 Collier Rd NW Ste 6
Atlanta, GA 30318-2544

Mailing address

857 Collier Road
Suite 6
Atlanta, GA 30318
Phone (404) 351-5933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091022000540 GA Part B Supplier - Clinic/Group Practice 7618014762 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1659511814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 COLLIER ROAD",
            "address_2": "SUITE 6",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30318",
            "telephone_number": "404-351-5933",
            "fax_number": "404-351-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 COLLIER RD NW STE 6",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182544",
            "telephone_number": "404-351-5933",
            "fax_number": "404-351-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "RIVCHUN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "404-351-5933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO004774",
            "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 Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.