Individual provider Active NPI

Chelsea Marie Martin, DC

  • Chiropractor
  • Smyrna, GA
National Provider Identifier
1760960330
Registry record updated Aug 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010094 Issued in GA
Practice address
4425 S Cobb Dr SE Ste G
Smyrna, GA 30080-6369
Phone
(770) 444-9191
NPI assigned
Aug 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010094 GA Primary

Addresses

Primary practice location

4425 S Cobb Dr SE Ste G
Smyrna, GA 30080-6369

Mailing address

4562 Kings Crossing Dr NE
Kennesaw, GA 30144-1673
Phone (205) 399-6302

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

LicenseStateTypeSpecialty
CHIR010094GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Climb Chiropractic Chiropractor CurrentSince Nov 13, 2022 Accepting new patients
Village Health Georgia, P.C. Chiropractor Past Accepting new patients

Locations

565 Hardee St
Dallas, GA 30132
Phone (404) 445-4600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533427200000",
    "number": "1760960330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4562 KINGS CROSSING DR NE",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441673",
            "telephone_number": "205-399-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 S COBB DR SE STE G",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806369",
            "telephone_number": "770-444-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHELSEA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-05",
        "last_updated": "2018-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2018; 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.