Two Dragons Tai CHI LLC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

TWO DRAGONS TAI CHI LLC

Practice address

4373 Marjorie Rd
Snellville, GA 30039-6538

Phone

(404) 624-6151

Fax

(770) 860-1815

NPI assigned

Aug 25, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Gene Douglas McFadden Jr.NPI 1649832452

Title

Co-Owner

Phone

(404) 624-6151

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gene Douglas McFadden Jr.

  • Recreation Therapist
  • Snellville, GA
  • NPI 1649832452
  NPD Authorized official
• Jeri Lynn Hall-McFadden

  • Athletic Trainer
  • Snellville, GA
  • NPI 1598327264
  NPD (past)

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1760095202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4373 MARJORIE RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396538",
            "telephone_number": "404-624-6151",
            "fax_number": "770-860-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4373 MARJORIE RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396538",
            "telephone_number": "404-624-6151",
            "fax_number": "770-860-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO DRAGONS TAI CHI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "404-624-6151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Paige Turmel, PA-C
• Timothy Lee Turnbull, MD
• Kalyn Turner, RBT
• Latoya Turner, CHD
• Ledia Dermese Turner, D.O.
• Pamela Diane Twohill, LCSW
• Melanie Tyler-Payton
• Mary Allison Roensch Tyler, MD
• Lauren Tymchuk
• Marjean Tyndale, FNP

• Athletic Trainer in Snellville, GA
• Providers in Snellville, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.