Organization Active NPI

Discover Wellness, LLC

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1780829002
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005792 Issued in GA
Legal business name
DISCOVER WELLNESS, LLC
Practice address
1025 Rose Creek Dr
Suite 340
Woodstock, GA 30189-6797
Phone
(678) 398-7338
NPI assigned
Dec 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Dr. Michael R. Donaldson, DC
Title
Owner
Phone
(678) 398-7338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 005792 GA Primary

Addresses

Primary practice location

1025 Rose Creek Dr
Suite 340
Woodstock, GA 30189-6797

Mailing address

1025 Rose Creek Dr
Suite 340
Woodstock, GA 30189-6797
Phone (678) 398-7338

Other identifiers 1

IdentifierTypeStateIssuer
1417089368OtherGAMICHAEL R. DONALDSON, DC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1780829002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 ROSE CREEK DR",
            "address_2": "SUITE 340",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896797",
            "telephone_number": "678-398-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ROSE CREEK DR",
            "address_2": "SUITE 340",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896797",
            "telephone_number": "678-398-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-398-7338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "005792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHAEL R. DONALDSON, DC",
            "identifier": "1417089368",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.