Individual provider Active NPI

Anne Nzekellang Mbu Etonga, DC

  • Chiropractor
  • Norcross, GA
National Provider Identifier
1700547122
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010581 Issued in GA
Practice address
3295 River Exchange Dr Ste 308
Norcross, GA 30092-4216
Phone
(404) 490-2460
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR010581 GA Primary

Addresses

Primary practice location

3295 River Exchange Dr Ste 308
Norcross, GA 30092-4216

Mailing address

3295 River Exchange Dr Ste 308
Norcross, GA 30092-4216
Phone (404) 490-2460

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@oneeightychiropractic.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010581GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
One Eighty Chiropractic LLC Chiropractor CurrentSince Jun 15, 2025 Accepting new patients

Locations

3295 River Exchange Dr
Ste 308
Norcross, GA 30092
Phone (404) 490-2460

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1700547122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 RIVER EXCHANGE DR STE 308",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924216",
            "telephone_number": "404-490-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 RIVER EXCHANGE DR STE 308",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924216",
            "telephone_number": "404-490-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETONGA",
        "first_name": "ANNE",
        "middle_name": "NZEKELLANG MBU",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@oneeightychiropractic.com",
            "affiliation": "N",
            "endpointDescription": "Clinic Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Main Clinic Email",
            "address_1": "3295 River Exchange Dr Ste 308",
            "city": "Norcross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300924216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.