Individual provider Active NPI

Alexander Awwad, DC

  • Chiropractor
  • Smyrna, GA
National Provider Identifier
1700403664
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010382 Issued in GA
Practice address
3499 S Cobb Dr SE Ste 206
Smyrna, GA 30080-4170
Phone
(770) 500-7685
NPI assigned
Jun 26, 2020
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010382 GA Primary

Addresses

Primary practice location

3499 S Cobb Dr SE Ste 206
Smyrna, GA 30080-4170

Mailing address

3499 S Cobb Dr SE Ste 206
Smyrna, GA 30080-4170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210114002896 GA Practitioner - Chiropractic 9032522859
I20251217000188 TX Practitioner - Chiropractic 9032522859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compassion Family Chiropractic, LLCGroup PAC ID 0941696736, 2 clinicians

Practice addresses (Care Compare)

401 N Valley Pkwy
Suite 370
Lewisville, TX 75067-3921
Phone (469) 240-2322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010382GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
City Chiropractic Chiropractor CurrentSince Jun 8, 2023 Accepting new patients
Compassion Family Chiropractic, LLC Chiropractor CurrentSince Dec 9, 2025 Accepting new patients
Ackerman Chiropractic Center, P.C. Chiropractor PastSince Dec 1, 2020 Accepting new patients

Locations

3499 S Cobb Dr SE
Smyrna, GA 30080
Phone (248) 506-3137

3499 S Cobb Dr SE
Ste 206
Smyrna, GA 30080
Phone (586) 945-2258

401 N Valley Pkwy
Ste 370
Lewisville, TX 75067
Phone (469) 240-2322

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1700403664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 S COBB DR SE STE 206",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 S COBB DR SE STE 206",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804170",
            "telephone_number": "770-500-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWWAD",
        "first_name": "ALEXANDER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-26",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.