NPIMap

Organization Active NPI

Healthchoice Clinic of Johns Creek.L.L.C.

Doing business as Atl Pain Institute

  • Chiropractor
  • Doraville, GA
National Provider Identifier
1700035037
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO 5305 Issued in GA
Legal business name
HEALTHCHOICE CLINIC OF JOHNS CREEK.L.L.C.
Doing business as
Atl Pain Institute
Practice address
4535 Winters Chapel Rd
Suite B
Doraville, GA 30360-2705
Phone
(678) 957-0266
Fax
(678) 909-0659
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Dr. Matthew Michael Diduro, B.S., D.C.NPI 1376514638
Title
President/ Owner
Phone
(404) 402-1903

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CHIRO 5305 GA Primary

Addresses

Primary practice location

4535 Winters Chapel Rd
Suite B
Doraville, GA 30360-2705

Mailing address

766 Fairfield Dr
Marietta, GA 30068-4104
Phone (404) 402-1903

Other names 1

  • Atl Pain Institute Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1700035037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 FAIRFIELD DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684104",
            "telephone_number": "404-402-1903",
            "fax_number": "678-909-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 WINTERS CHAPEL RD",
            "address_2": "SUITE B",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303602705",
            "telephone_number": "678-957-0266",
            "fax_number": "678-909-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCHOICE CLINIC OF JOHNS CREEK.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "DIDURO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "404-402-1903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.S., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO 5305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atl Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.