Individual provider Active NPI

Amy Leigh Reich, D.C.

  • Chiropractor
  • Kennesaw, GA
National Provider Identifier
1770636524
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008135 Issued in GA
Practice address
3450 Acworth Due West Rd.
Suite 330
Kennesaw, GA 30144-1002
Phone
(678) 744-7222
Fax
(678) 574-5223
NPI assigned
Jan 18, 2007
Last updated
Oct 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008135 GA Primary

Addresses

Primary practice location

3450 Acworth Due West Rd.
Suite 330
Kennesaw, GA 30144-1002

Mailing address

3450 Acworth Due West Rd.
Suite 330
Kennesaw, GA 30144-1002
Phone (678) 744-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070604000070 GA Practitioner - Chiropractic 7911903943 Practice locations: Kennesaw, GA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1690 Stone Village LN NW
Suite 621
Kennesaw, GA 30152-7777
Phone (678) 744-7222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008135GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Big Idea Chiropractic Center LLC Chiropractor Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1770636524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD.",
            "address_2": "SUITE 330",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441002",
            "telephone_number": "678-744-7222",
            "fax_number": "678-574-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD.",
            "address_2": "SUITE 330",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441002",
            "telephone_number": "678-744-7222",
            "fax_number": "678-574-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICH",
        "first_name": "AMY",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.