Organization Active NPI

Banks Chiropractic Center, PC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1750654653
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006174 Issued in GA
Legal business name
BANKS CHIROPRACTIC CENTER, PC
Practice address
3000 Windy Hill Rd SE
Suite 204
Marietta, GA 30067-8478
Phone
(770) 988-8884
Fax
(770) 988-8049
NPI assigned
Feb 23, 2012
Last updated
Feb 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Elizabeth Anne Banks, DCNPI 1245300524
Title
Doctor
Phone
(770) 988-8884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006174 GA Primary

Addresses

Primary practice location

3000 Windy Hill Rd SE
Suite 204
Marietta, GA 30067-8478

Mailing address

3000 Windy Hill Rd SE
Suite 204
Marietta, GA 30067-8478
Phone (770) 988-8884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120228000398 GA Part B Supplier - Clinic/Group Practice 1052579687 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

2325 Log Cabin Dr SE
Ste 107
Vinings, GA 30339
Phone (678) 239-4864

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1750654653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WINDY HILL RD SE",
            "address_2": "SUITE 204",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678478",
            "telephone_number": "770-988-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WINDY HILL RD SE",
            "address_2": "SUITE 204",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678478",
            "telephone_number": "770-988-8884",
            "fax_number": "770-988-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANKS CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "770-988-8884",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.