Organization Active NPI

Buckhead Chiropractic & Wellness

  • Clinic/Center
  • Roswell, GA
National Provider Identifier
1669980256
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CHIR009661 Issued in GA
Legal business name
BUCKHEAD CHIROPRACTIC & WELLNESS
Practice address
600 Houze Way Ste A1
Roswell, GA 30076-1432
Phone
(770) 993-9287
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Dr. Jillian N. Bowes, DO
Title
Owner
Phone
(239) 293-4980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CHIR009661 GA Primary

Addresses

Primary practice location

600 Houze Way Ste A1
Roswell, GA 30076-1432

Mailing address

3020 Manor Creek CT
Roswell, GA 30075-1499
Phone (239) 293-4980

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1669980256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 MANOR CREEK CT",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751499",
            "telephone_number": "239-293-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOUZE WAY STE A1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761432",
            "telephone_number": "770-993-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "BOWES",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-293-4980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CHIR009661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.