South Fulton Regenerative Medicine and Physical Rehabilitation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SOUTH FULTON REGENERATIVE MEDICINE AND PHYSICAL REHABILITATION

Practice address

5835 Campbellton Rd SW Ste 204
Atlanta, GA 30331-8014

Phone

(404) 349-3601

NPI assigned

Sep 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Shawn G Jones, DCNPI 1710952965

Title

Owner

Phone

(404) 349-3601

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.

• Shawn Jones, D.C.

  • Chiropractor
  • Atlanta, GA
  • NPI 1710952965
  NPD Authorized official

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1750996302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 CAMPBELLTON RD SW STE 204",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318014",
            "telephone_number": "404-349-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 CAMPBELLTON RD SW STE 204",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318014",
            "telephone_number": "404-349-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FULTON REGENERATIVE MEDICINE AND PHYSICAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-349-3601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Atlanta Urgent Care Clinic, LLC.
• South Fulton Dialysis Center LLC
• South Fulton Emergency Physicians, LLC
• South Fulton Health Center
• South Fulton Medical Center, LLC
• South Metro Immediate Care Center
• South Metro Therapy Services LLC
• South Oncology Institute, Corp.
• South West Georgia Homecare LLC
• Chevar South

• General Practice Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.