Headquarterz HQZ PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HEADQUARTERZ HQZ PC

Doing business as

HEALTH SHIFT CHIROPRACTIC

Practice address

7910 Mall Ring Rd Ste 300
Lithonia, GA 30038-2698

Phone

(470) 395-3142

NPI assigned

Sep 16, 2022

Organization subpart

No

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

Authorized official

Name

Kenya Edwards, DCNPI 1821564543

Title

Owner/Authorized Official

Phone

(470) 395-3142

Specialties & licenses 1

Addresses

Other names 1

• HEALTH SHIFT CHIROPRACTIC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Kenya Edwards, DC

  • Chiropractor
  • Lithonia, GA
  • NPI 1821564543
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1770205692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 MALL RING RD STE 300",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382698",
            "telephone_number": "470-395-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 MALL RING RD STE 300",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382698",
            "telephone_number": "470-395-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADQUARTERZ HQZ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "470-395-3142",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH SHIFT CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.