Buckhead Spine Clinic LTD. Co.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008850 Issued in GA

Legal business name

BUCKHEAD SPINE CLINIC LTD. CO.

Practice address

3155 Roswell Rd NE
Ste 140
Atlanta, GA 30305-1821

Phone

(770) 820-5807

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Nicholas Pickrell, D.C.

Title

Owner

Phone

(770) 820-5807

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1740548544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 HABERSHAM RD NE APT 333",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303055414",
            "telephone_number": "770-820-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 ROSWELL RD NE",
            "address_2": "STE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051821",
            "telephone_number": "770-820-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD SPINE CLINIC LTD. CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "PICKRELL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-820-5807",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buckhead Podiatry Associates LLC
• Buckhead Primary Care, LLC
• Buckhead Smile Center, P.C.
• Buckhead Smiles Cosmetic and Family Dentistry LLC
• Buckhead Speech Specialists, Inc.
• Buckhead Spine Specialist LLC
• Buckhead Sports Medicine and Spine Center
• Buckhead Surgical Associates LLC
• Buckhead Surgical Services, L.P.
• Buckhead Urogynecology

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.