The Vivicare Clinic P-C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008939 Issued in GA

Legal business name

THE VIVICARE CLINIC P-C

Doing business as

Vivicare Chiropractic and Wellness Center

Practice address

4920 Roswell Rd. St. 39
Atlanta, GA 30342-2636

Phone

(404) 963-1913

Fax

(404) 963-1947

NPI assigned

Mar 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Khalilah Williams, DC

Title

President

Phone

(404) 963-1913

Specialties & licenses 1

Addresses

Other names 1

• Vivicare Chiropractic and Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1689915217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 ROSWELL RD. ST. 39",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422636",
            "telephone_number": "404-963-1913",
            "fax_number": "404-963-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 ROSWELL RD. ST. 39",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422636",
            "telephone_number": "404-963-1913",
            "fax_number": "404-963-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VIVICARE CLINIC P-C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "KHALILAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-963-1913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vivicare Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.