Amadis Acevedo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010170 Issued in GA

Practice address

295 Molly LN
Woodstock, GA 30189-3760

Phone

(770) 926-4646

Fax

(888) 342-7278

NPI assigned

Apr 10, 2019

Last updated

Aug 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Chiropractic San Juan, LLC

  • Chiropractor
  • San Juan, PR
  • NPI 1174250765
  Medicare reassignment NPD

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1679036222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 MOLLY LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893760",
            "telephone_number": "770-926-4646",
            "fax_number": "888-342-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MOLLY LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893760",
            "telephone_number": "770-926-4646",
            "fax_number": "888-342-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "AMADIS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khaled M Abouhaif, D.C.
• Jasmin Abrahamsen, PT
• Lauren Accor
• James Accord I, HIS
• Accumed Home Health of Georgia LLC (Community Home Health, an Amedisys Company)
• Achieving Wellness Chiropractic Center, P.C.
• Laura Acosta
• Activate Your Health Chiropractic and Wellness Center, LLC.
• Alexander Adamczyk
• Jacqueline Marie Adams, M.S.

• Chiropractor in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.