Divine Realign Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009465 Issued in GA

Legal business name

DIVINE REALIGN CHIROPRACTIC

Practice address

3655 Canton Rd Ste 101
Marietta, GA 30066-2686

Phone

(678) 273-2116

NPI assigned

May 13, 2015

Organization subpart

No

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

Authorized official

Name

Carolina Mahaffey, DC

Title

Chiropractor

Phone

(864) 631-5952

Specialties & licenses 1

Addresses

Practitioners 1

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

• Shatillia R McFarlin Melvin Ball, DC

  • Chiropractor
  • Atlanta, GA
  • NPI 1811038318
  NPD (past)

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1730567439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 CANTON RD STE 101",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 CANTON RD STE 101",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662686",
            "telephone_number": "678-273-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE REALIGN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "MAHAFFEY",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "864-631-5952",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Distefano, DPM
• Janet Annikki Dits-Rinta-Koski, RN, MSN, AGNP-C
• Manasi Divan, MSW, RD LD
• Diversified Diagnostics, Inc
• Divine Psychology, LLC
• Divine Team Behavioral Health Care Inc
• Alexandra Graham Dixon, M.S., LPC, NCC
• Hallea Dixon, RN
• Jia Dixon
• Jodi Dixon, DC

• Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.