Active NPI
Jennifer Lynn Good, D.C.
- Chiropractor
- Atlanta, GA
National Provider Identifier
1710037502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR006805
- Practice address
- 3365 Piedmont Rd NE
Atlanta, GA 30305-1794 - Phone
- (404) 844-0101
- NPI assigned
- Jan 12, 2007
- Reactivated
- Oct 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X010096 | NY | |
| Chiropractor | 111N00000X | CHIR006805 | GA | Primary |
Addresses
Primary practice location
3365 Piedmont Rd NE
Atlanta, GA 30305-1794
Mailing address
PO Box 49188
Atlanta, GA 30359-1188
Phone (404) 844-0101
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR006805 | GA | MD | Chiropractor |
| X010096 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robin Stein DC PC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- East Islip, NY
- NPI 1659588598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1710037502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 49188",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303591188",
"telephone_number": "404-844-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3365 PIEDMONT RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303051794",
"telephone_number": "404-844-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"deactivation_date": "2021-08-05",
"reactivation_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010096",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR006805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.