Mark Anthony Vettraino, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR011219 Issued in GA

Practice address

2632 Gladstone Ter
Woodstock, GA 30189-6883

Phone

(678) 634-2422

NPI assigned

Aug 19, 2024

Last updated

Aug 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vettraino Chiropractic, LLC

  • Chiropractor
  • Woodstock, GA
  • NPI 1548093388
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1801628722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 GLADSTONE TER",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896883",
            "telephone_number": "678-634-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 GLADSTONE TER",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896883",
            "telephone_number": "678-634-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTRAINO",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vcoleman Enterprise LLC
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• Giovani Velez, DPT
• Gregory Paul Vescera, PT, DPT
• Vettraino Chiropractic, LLC
• Sydney Alexandra Vick, OT
• Lisa A. Vickers, LPC
• Village Podiatry Group, LLC
• Village Podiatry Group, LLC
• Miya Villagrana, RBT

• Chiropractor in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.

Verify at the official NPI Registry.