Active NPI
Michael Paul Abbatinozzi, D.C.
- Chiropractor
- Marietta, GA
National Provider Identifier
1801003264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR004726
- Practice address
- 1415 Barclay Cir SE
Marietta, GA 30060-2943 - Phone
- (770) 426-2786
- Fax
- (770) 792-6113
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
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 | CHIR004726 | GA | Primary |
Addresses
Primary practice location
1415 Barclay Cir SE
Marietta, GA 30060-2943
Mailing address
1415 Barclay Cir SE
Marietta, GA 30060-2943
Phone (770) 426-2786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210426001458 | GA | Practitioner - Chiropractic | 7517375843 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Barclay Cir SE
Marietta, GA 30060-2943
Phone (770) 792-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life University Inc | Chiropractor | Current | Accepting new patients |
| Life University, Inc | Chiropractor | Current | Accepting new patients |
Locations
1269 Barclay Cir SE
Marietta, GA 30060
Phone (770) 424-0554
1415 Barclay Cir SE
Marietta, GA 30060
Phone (770) 426-2786
Interoperability endpoints
- mike.abbatinozzi.p1@direct.life.nextgenshare.com
Organizations & group practices 2
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.
-
- Chiropractor
- San Juan, PR
- NPI 1508580978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1801003264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 BARCLAY CIR SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300602943",
"telephone_number": "770-426-2786",
"fax_number": "770-792-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 BARCLAY CIR SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300602943",
"telephone_number": "770-426-2786",
"fax_number": "770-792-6113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBATINOZZI",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR004726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.