Atlanta Spine and Wellness LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIR008879 Issued in GA

Legal business name

ATLANTA SPINE AND WELLNESS LLC

Practice address

5070 Peachtree Blvd Ste E170
Chamblee, GA 30341-3010

Phone

(770) 392-9299

Fax

(770) 727-8136

NPI assigned

Dec 31, 2014

Last updated

Oct 23, 2024By 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

Dr. Christopher Brian Heitman, D.C.NPI 1790060184

Title

Owner

Phone

(770) 392-9299

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 6

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.

• Christopher Brian Heitman, D.C.

  • Chiropractor
  • Chamblee, GA
  • NPI 1790060184
  Medicare reassignment NPD Authorized official
• Case Dannon Merritt, DC

  • Chiropractor
  • Chamblee, GA
  • NPI 1497567374

  Single Specialty

  NPD
• Anthony Neal

  • Massage Therapist
  • Chamblee, GA
  • NPI 1548109986
  NPD (past)
• Robert J Sanborn, D.C.

  • Chiropractor
  • Roswell, GA
  • NPI 1154402162
  NPD (past)
• Patricia Tamburro, D.C.

  • Chiropractor
  • Roswell, GA
  • NPI 1538354337
  NPD (past)
• Sade Walton

  • Chiropractor
  • Atlanta, GA
  • NPI 1013480342

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1720476609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5070 PEACHTREE BLVD STE E170",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413010",
            "telephone_number": "770-392-9299",
            "fax_number": "770-727-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 PEACHTREE BLVD STE E170",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413010",
            "telephone_number": "770-392-9299",
            "fax_number": "770-727-8136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1792 Woodstock Rd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300755615",
            "country_code": "US",
            "telephone_number": "478-397-8639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTA SPINE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "HEITMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-392-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR008879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise L Ashpole, DMD
• Athletic Development and Performance Therapy (Adapt Physical Therapy)
• Atlanta Pediatric Therapy
• Atlanta Pediatric Therapy, Inc.
• Atlanta Prime Med
• Nicole M Bailey, LCSW
• Ariana Barnett
• Gabriela Isabel Bautista, MSN, APRN
• Kyoon Chung Begaye, DDS
• Victor Berkovich, DMD

• Rehabilitation Chiropractor in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.