Organization Active NPI

Eagles Landing Pain & Rehab

  • Rehabilitation Chiropractor
  • Atlanta, GA
National Provider Identifier
1811202989
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
006333CHIRO Issued in GA
Legal business name
EAGLES LANDING PAIN & REHAB
Practice address
3286 Buckeye Rd Ste 102
Atlanta, GA 30341-4228
Phone
(770) 455-4600
Fax
(770) 455-7799
NPI assigned
Aug 13, 2010
Last updated
Aug 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Ms. Sara Badie, MANAGER
Title
Manager
Phone
(770) 455-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 006333CHIRO GA Primary

Addresses

Primary practice location

3286 Buckeye Rd Ste 102
Atlanta, GA 30341-4228

Mailing address

125 Eagle Spring Dr
Stockbridge, GA 30281-6328
Phone (678) 379-0943

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1811202989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EAGLE SPRING DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816328",
            "telephone_number": "678-379-0943",
            "fax_number": "678-379-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3286 BUCKEYE RD STE 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414228",
            "telephone_number": "770-455-4600",
            "fax_number": "770-455-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES LANDING PAIN & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "BADIE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-455-4600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "006333CHIRO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.