Chiro at the Creek

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009038 Issued in GA

Legal business name

CHIRO AT THE CREEK

Practice address

11030 Medlock Bridge Rd Ste 230
Johns Creek, GA 30097-3504

Phone

(678) 694-1113

Fax

(678) 694-1676

NPI assigned

Nov 26, 2014

Organization subpart

No

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

Authorized official

Name

Austin Gerald HollenNPI 1376897447

Title

Owner

Phone

(678) 694-1113

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Austin Gerald Hollen, D.C.

  • Chiropractor
  • Johns Creek, GA
  • NPI 1376897447
  Medicare reassignment NPD Authorized official
• Bryan Melendez, DC

  • Chiropractor
  • Johns Creek, GA
  • NPI 1144958398
  NPD

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1720485246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 BELL RD",
            "address_2": "SUITE 230",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 MEDLOCK BRIDGE RD STE 230",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973504",
            "telephone_number": "678-694-1113",
            "fax_number": "678-694-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO AT THE CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "HOLLEN",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-694-1113"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shen Chen
• Haiying Cheng, O.D
• Cherishersnest, LLC (Homewatch CareGivers of Johns Creek)
• Melissa Chestnut
• Jenny Chiem, RPH
• Chiropractic Wellness Center P C
• Chiropractic Wellness Health Center Inc
• Annie Cho
• David Cho, PT, DPT
• Pyung Gang Cho, LAC

• Chiropractor in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.