Organization Active NPI

Northeast Chiropractic Center

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1730265307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
GA 3071 Issued in GA
Legal business name
NORTHEAST CHIROPRACTIC CENTER
Practice address
5725 Buford Hwy NE
Suite 105
Atlanta, GA 30340-1230
Phone
(770) 451-9494
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Thomas Sheridan, DC
Title
President/Chiropractor
Phone
(770) 451-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X GA 3071 GA Primary

Addresses

Primary practice location

5725 Buford Hwy NE
Suite 105
Atlanta, GA 30340-1230

Mailing address

5725 Buford Hwy NE
Suite 105
Atlanta, GA 30340-1230
Phone (770) 451-9494

National Provider Directory

National Provider Directory

Locations

2650 Holcomb Bridge Rd
Ste 140
Alpharetta, GA 30022
Phone (770) 451-9494

5725 Buford Hwy NE
Ste 105
Doraville, GA 30340
Phone (770) 451-9494

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730265307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 BUFORD HWY NE",
            "address_2": "SUITE 105",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303401230",
            "telephone_number": "770-451-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 BUFORD HWY NE",
            "address_2": "SUITE 105",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303401230",
            "telephone_number": "770-451-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "770-451-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "GA 3071",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.