Individual provider Active NPI

Clayton E. Bell Sr., D.C., CCEP

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1770718330
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR002929 Issued in GA
Practice address
2905 Campbellton Rd SW Ste G-H
Atlanta, GA 30311-4511
Phone
(404) 349-8221
Fax
(404) 349-5138
NPI assigned
May 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X CHIR002929 GA
Rehabilitation Chiropractor 111NR0400X CHIR002929 GA
Chiropractor 111N00000X CHIR002929 GA Primary

Addresses

Primary practice location

2905 Campbellton Rd SW Ste G-H
Atlanta, GA 30311-4511

Mailing address

2905 Campbellton Rd SW Ste G-H
Atlanta, GA 30311-4511
Phone (404) 349-8221

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
CHIR002929GAMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Center for Wholistic Chiropractic, Inc. Chiropractor CurrentSince Jan 24, 2021 Accepting new patients

Locations

2905 Campbellton Rd SW
Ste Gh
Atlanta, GA 30311
Phone (404) 349-8221

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1770718330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 CAMPBELLTON RD SW STE G-H",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303114511",
            "telephone_number": "404-349-8221",
            "fax_number": "404-349-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 CAMPBELLTON RD SW STE G-H",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303114511",
            "telephone_number": "404-349-8221",
            "fax_number": "404-349-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "CLAYTON",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.C., CCEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "GA",
            "license": "CHIR002929",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR002929",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.