Active NPI
Stephanie Michelle Vega, D.C.
- Chiropractor
- Norcross, GA
National Provider Identifier
1780187476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO10029
- Practice address
- 3081 Holcomb Bridge Rd
Ste J1
Norcross, GA 30071-1396 - Phone
- (704) 902-3801
- NPI assigned
- Mar 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO10029 | GA | Primary |
Addresses
Primary practice location
3081 Holcomb Bridge Rd
Ste J1
Norcross, GA 30071-1396
Mailing address
3081 Holcomb Bridge Rd
Ste J1
Norcross, GA 30071-1396
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO10029 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1780187476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3081 HOLCOMB BRIDGE RD",
"address_2": "STE J1",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300711396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3081 HOLCOMB BRIDGE RD",
"address_2": "STE J1",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300711396",
"telephone_number": "704-902-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "STEPHANIE",
"middle_name": "MICHELLE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-09",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO10029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.