Active NPI
William James Pascoe, D.C.
- Rehabilitation Chiropractor
- Atlanta, GA
National Provider Identifier
1730392267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 2135
- Practice address
- 3079 Campbellton Rd SW
206
Atlanta, GA 30311-5400 - Phone
- (404) 344-0838
- Fax
- (404) 344-0895
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 2135 | GA | Primary |
Addresses
Primary practice location
3079 Campbellton Rd SW
206
Atlanta, GA 30311-5400
Mailing address
3079 Campbellton Rd SW
206
Atlanta, GA 30311-5400
Phone (404) 344-0838
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 |
|---|---|---|---|
| 2135 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730392267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3079 CAMPBELLTON RD SW",
"address_2": "206",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303115400",
"telephone_number": "404-344-0838",
"fax_number": "404-344-0895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3079 CAMPBELLTON RD SW",
"address_2": "206",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303115400",
"telephone_number": "404-344-0838",
"fax_number": "404-344-0895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCOE",
"first_name": "WILLIAM",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "2135",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.