Active NPI
Mustard Seed Chiropractic
- Chiropractor
- Smyrna, GA
National Provider Identifier
1689331498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MUSTARD SEED CHIROPRACTIC
- Practice address
- 1060 Windy Hill Rd SE Ste 209
Smyrna, GA 30080-2065 - Phone
- (770) 756-7741
- Fax
- (678) 403-1707
- NPI assigned
- Nov 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jagerran Knight-Bryant, DC
- Title
- Co-Owner
- Phone
- (770) 756-7741
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1060 Windy Hill Rd SE Ste 209
Smyrna, GA 30080-2065
Mailing address
3115 Roswell Rd Ste 204
Marietta, GA 30062-7611
Phone (770) 756-7741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3115 Roswell Rd
Ste 204
Marietta, GA 30062
Phone (404) 383-0778
1060 Windy Hill Rd SE
Ste 209
Smyrna, GA 30080
Phone (678) 403-1796
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Marietta, GA
- NPI 1164189908
-
- Chiropractor
- Marietta, GA
- NPI 1982323168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1689331498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 ROSWELL RD STE 204",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300627611",
"telephone_number": "770-756-7741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 WINDY HILL RD SE STE 209",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300802065",
"telephone_number": "770-756-7741",
"fax_number": "678-403-1707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSTARD SEED CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-29",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "KNIGHT-BRYANT",
"authorized_official_first_name": "JAGERRAN",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "770-756-7741",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.