Organization Active NPI

Chiropractic at the Lighthouse, LLC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1811123243
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008436 Issued in GA
Legal business name
CHIROPRACTIC AT THE LIGHTHOUSE, LLC
Practice address
62 Shawnee LN
Marietta, GA 30067-7316
Phone
(770) 971-8115
NPI assigned
May 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Dr. Laurelyn Barnett, DC
Title
Owner
Phone
(770) 971-8115

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CHIR008436 GA Primary
MechanotherapistGroup: 193200000X MULTI-SPECIALTY GROUP 172M00000X MT003767 GA

Addresses

Primary practice location

62 Shawnee LN
Marietta, GA 30067-7316

Mailing address

2078 Sherwood Dr SE
Marietta, GA 30067-7324
Phone (404) 358-5250

National Provider Directory

National Provider Directory

Locations

62 Shawnee Trl SE
Marietta, GA 30067
Phone (770) 309-9239

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1811123243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2078 SHERWOOD DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677324",
            "telephone_number": "404-358-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 SHAWNEE LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677316",
            "telephone_number": "770-971-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC AT THE LIGHTHOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "LAURELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-971-8115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008436",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "GA",
            "license": "MT003767",
            "primary": false
        }
    ],
    "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 May 29, 2009; 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.