Active NPI
Malika B. Gooden, DC, MPH, CMT
- Chiropractor
- Marietta, GA
National Provider Identifier
1750689485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008248
- Practice address
- 2125 Hilltop Overlook Way
Marietta, GA 30062-2915 - Phone
- (404) 513-3490
- NPI assigned
- Mar 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008248 | GA | Primary |
Addresses
Primary practice location
2125 Hilltop Overlook Way
Marietta, GA 30062-2915
Mailing address
519 Johnson Ferry Rd
BLDG B - Suite 350
Marietta, GA 30068-4641
Phone (770) 693-2247
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR008248 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299110400000",
"number": "1750689485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 JOHNSON FERRY RD",
"address_2": "BLDG B - SUITE 350",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684641",
"telephone_number": "770-693-2247",
"fax_number": "770-693-2432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 HILLTOP OVERLOOK WAY",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300622915",
"telephone_number": "404-513-3490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODEN",
"first_name": "MALIKA",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "DC, MPH, CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-03",
"last_updated": "2011-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008248",
"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 Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.