Individual provider Active NPI

Kelsey Schwisow

  • Chiropractor
  • Smyrna, GA
National Provider Identifier
1730505454
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009281 Issued in GA
Practice address
3246 Atlanta Rd SE
Suite E
Smyrna, GA 30080-8200
Phone
(678) 424-8501
Fax
(678) 424-8504
NPI assigned
Mar 6, 2014
Last updated
Mar 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009281 GA Primary

Addresses

Primary practice location

3246 Atlanta Rd SE
Suite E
Smyrna, GA 30080-8200

Mailing address

3246 Atlanta Rd SE
Suite E
Smyrna, GA 30080-8200
Phone (678) 424-8501

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009281GAMDChiropractor
33511CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Family Chiropractic Inc Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1730505454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3246 ATLANTA RD SE",
            "address_2": "SUITE E",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808200",
            "telephone_number": "678-424-8501",
            "fax_number": "678-424-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 ATLANTA RD SE",
            "address_2": "SUITE E",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808200",
            "telephone_number": "678-424-8501",
            "fax_number": "678-424-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWISOW",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.