Organization Active NPI

Douglasville Wellness and Chiropractic Center Inc

  • Chiropractor
  • Douglasville, GA
National Provider Identifier
1790965093
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHRI004944 Issued in GA
Legal business name
DOUGLASVILLE WELLNESS AND CHIROPRACTIC CENTER INC
Practice address
3677 Highway 5
Douglasville, GA 30135-6930
Phone
(770) 942-9494
Fax
(770) 942-9500
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Rosemarie Russo, DC
Title
Doctor
Phone
(770) 942-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHRI004944 GA Primary

Addresses

Primary practice location

3677 Highway 5
Douglasville, GA 30135-6930

Mailing address

3677 Highway 5
Douglasville, GA 30135-6930
Phone (770) 942-9494

National Provider Directory

National Provider Directory

Locations

3677 Highway 5
Douglasville, GA 30135
Phone (770) 942-9494

7193 Douglas Blvd
Ste 101
Douglasville, GA 30135
Phone (770) 942-9494

Practitioners & affiliated clinicians

Practitioners 3

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": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1790965093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3677 HIGHWAY 5",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301356930",
            "telephone_number": "770-942-9494",
            "fax_number": "770-942-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 HIGHWAY 5",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301356930",
            "telephone_number": "770-942-9494",
            "fax_number": "770-942-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLASVILLE WELLNESS AND CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "770-942-9494",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHRI004944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.