NPIMap

Organization Active NPI

Life University, Inc

Doing business as Dr. Sid E. Williams Center for Chiropractic Research

  • Clinic/Center
  • Atlanta, GA
National Provider Identifier
1750082608
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LIFE UNIVERSITY, INC
Doing business as
Dr. Sid E. Williams Center for Chiropractic Research
Practice address
1 Baltimore PL NW
Atlanta, GA 30308-2116
Phone
(770) 426-2600
NPI assigned
Mar 16, 2023
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFE UNIVERSITY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Dr. Stephanie Sullivan, DC
Title
Director
Phone
(770) 426-2632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1 Baltimore PL NW
Atlanta, GA 30308-2116

Mailing address

1 Baltimore PL NW
Atlanta, GA 30308-2116

Other names 1

  • Dr. Sid E. Williams Center for Chiropractic Research Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Life Clinic6 organizations share this tax ID, including this one
Part of
Life Clinic

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1750082608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BALTIMORE PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALTIMORE PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082116",
            "telephone_number": "770-426-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE UNIVERSITY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE UNIVERSITY, INC",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-426-2632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Sid E. Williams Center for Chiropractic Research",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 16, 2023; 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.