Stephanie Marie O'Brien, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR004702 Issued in GA

Practice address

3172 E Ponce de Leon Ave
Suite a
Scottdale, GA 30079-1244

Phone

(404) 370-8050

Fax

(404) 370-7604

NPI assigned

May 30, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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

• Boucher Family Chiropractic, LLC

  • Chiropractor
  • Hiram, GA
  • NPI 1073959227
  NPD (past)
• Two Hands Chiropractic LLC

  • Chiropractor
  • Hiram, GA
  • NPI 1811272859
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1700044294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3172 E PONCE DE LEON AVE",
            "address_2": "SUITE A",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300791244",
            "telephone_number": "404-370-8050",
            "fax_number": "404-370-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3172 E PONCE DE LEON AVE",
            "address_2": "SUITE A",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300791244",
            "telephone_number": "404-370-8050",
            "fax_number": "404-370-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR004702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Marshall
• Chante Wellington Mitchell, PH.D.
• Ebonie Monique Moore
• Christopher David Morehead, OTR/L
• Nova Insight Counseling LLC
• Pci Pharmacy Inc
• Pci Pharmacy Inc
• Olivia Michelle Pitzini, MFT
• Plural Psychotherapy
• Praada Academy Schools

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.