Active NPI
Jorge Emmanuel Robles, DC
- Chiropractor
- Lilburn, GA
National Provider Identifier
1720897622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11273
- Practice address
- 3035 Five Forks Trickum Rd SW Ste 7
Lilburn, GA 30047-1874 - Phone
- (787) 501-6258
- Fax
- (770) 268-2978
- NPI assigned
- Jan 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11273 | GA | Primary |
Addresses
Primary practice location
3035 Five Forks Trickum Rd SW Ste 7
Lilburn, GA 30047-1874
Mailing address
3035 Five Forks Trickum Rd SW Ste 7N
Lilburn, GA 30047-1874
Phone (787) 501-6258
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11273 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1720897622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3035 FIVE FORKS TRICKUM RD SW STE 7N",
"city": "LILBURN",
"state": "GA",
"postal_code": "300471874",
"telephone_number": "787-501-6258",
"fax_number": "770-268-2978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 FIVE FORKS TRICKUM RD SW STE 7",
"city": "LILBURN",
"state": "GA",
"postal_code": "300471874",
"telephone_number": "787-501-6258",
"fax_number": "770-268-2978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "JORGE",
"middle_name": "EMMANUEL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "11273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.