Organization Active NPI

Epiphany Health Studio, Inc.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1811352289
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2144 Issued in GA
Legal business name
EPIPHANY HEALTH STUDIO, INC.
Practice address
22 Mill St NE
Marietta, GA 30060-1967
Phone
(770) 590-9047
Fax
(770) 590-9074
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Diana SalzmannNPI 1477623783
Title
Owner
Phone
(770) 590-9047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2144 GA Primary

Addresses

Primary practice location

22 Mill St NE
Marietta, GA 30060-1967

Mailing address

22 Mill St NE
Marietta, GA 30060-1967
Phone (770) 590-9047

Other names 1

  • Same Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151230001018 GA Part B Supplier - Clinic/Group Practice 4789986217 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Locations

22 Mill St NE
Marietta, GA 30060
Phone (770) 590-9047

Practitioners & affiliated clinicians

Practitioners 2

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": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1811352289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MILL ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601967",
            "telephone_number": "770-590-9047",
            "fax_number": "770-590-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MILL ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601967",
            "telephone_number": "770-590-9047",
            "fax_number": "770-590-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY HEALTH STUDIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "SALZMANN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-590-9047"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Same",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.