Organization Active NPI

Darin Kourajian DC PC

  • Chiropractor
  • Riverdale, GA
National Provider Identifier
1700044203
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DARIN KOURAJIAN DC PC
Practice address
605 Valley Hill Rd SW
Riverdale, GA 30274-2445
Phone
(678) 457-0153
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Darin Kourajian, DCNPI 1477767804
Title
President
Phone
(678) 457-0153

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

605 Valley Hill Rd SW
Riverdale, GA 30274-2445

Mailing address

321 Randall CT
Locust Grove, GA 30248-7028
Phone (678) 457-0153

Other identifiers 1

IdentifierTypeStateIssuer
GRP6854OtherGAMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041203000139 GA Part B Supplier - Clinic/Group Practice 0446216220 Receives reassigned benefits from 1 practitioner
Practice locations: Locust Grove, GA

National Provider Directory

National Provider Directory

Locations

3079 Campbellton Rd SW
Ste 205
Atlanta, GA 30311
Phone (404) 344-0838

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1700044203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 RANDALL CT",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302487028",
            "telephone_number": "678-457-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 VALLEY HILL RD SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742445",
            "telephone_number": "678-457-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIN KOURAJIAN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "KOURAJIAN",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-457-0153",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP6854",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.

Verify at the official NPI Registry.