Quality Life Chiropractic L.L.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008880 Issued in GA

Legal business name

QUALITY LIFE CHIROPRACTIC L.L.C

Practice address

9950 Jones Bridge Rd
Suite 600
Johns Creek, GA 30022-6574

Phone

(770) 754-0037

Fax

(770) 754-7828

NPI assigned

Jan 29, 2015

Last updated

Jan 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Sparks

Title

Attorney

Phone

(470) 268-5234

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Gavin William Richards, D.C

  • Chiropractor
  • Johns Creek, GA
  • NPI 1477820041
  Medicare reassignment NPD

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1700276763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 JONES BRIDGE RD",
            "address_2": "SUITE 600",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300226574",
            "telephone_number": "770-754-0037",
            "fax_number": "770-754-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 JONES BRIDGE RD",
            "address_2": "SUITE 600",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300226574",
            "telephone_number": "770-754-0037",
            "fax_number": "770-754-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIFE CHIROPRACTIC L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "470-268-5234"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsey Blake Pulliam, CNM
• Puresoul Tradings LLC
• Venkata Shiva Puttagunta
• Pyramid Family Behavioral Healthcare LLC (Pyramid Healthcare Assessment Center)
• Pyramid Family Behavioral Healthcare LLC
• Douglas M Radman, MD
• Saeed Raees, DOCTOR OF PHARMACY
• Arwyn E Raina, M.D.
• Rano Rakhmanova, NP
• Seanah Lynn Ralston

• Chiropractor in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.