Individual provider Active NPI

Christopher M Powell, D.C.

  • Chiropractor
  • Alpharetta, GA
National Provider Identifier
1710217872
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008600 Issued in GA
Practice address
72 Thompson St
Alpharetta, GA 30009-3724
Phone
(770) 754-4567
NPI assigned
Jan 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008600 GA Primary

Addresses

Primary practice location

72 Thompson St
Alpharetta, GA 30009-3724

Mailing address

254 N Main St
Alpharetta, GA 30009-3625
Phone (770) 754-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100413000052 GA Practitioner - Chiropractic 0244366797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

254 N Main St
Alpharetta, GA 30009-3625
Phone (770) 754-4567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008600GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Healthcare Center of Alpharetta, LLC CurrentSince Sep 15, 2019 Accepting new patients
Chris Powell Chiropractic PC Chiropractor CurrentSince Jul 18, 2017 Accepting new patients

Locations

254 N Main St
Alpharetta, GA 30009
Phone (770) 754-4567

Organizations & group practices 2

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": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1710217872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 N MAIN ST",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093625",
            "telephone_number": "770-754-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 THOMPSON ST",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093724",
            "telephone_number": "770-754-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-12",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.