Active NPI
Ortho-Neuro Center, Inc.
- Acupuncturist
- Decatur, GA
National Provider Identifier
1821143298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 031958
- Legal business name
- ORTHO-NEURO CENTER, INC.
- Practice address
- 1376 Church St
Decatur, GA 30030-1519 - Phone
- (404) 373-0400
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joon Whee Kim, M.D.
- Title
- General Partner
- Phone
- (404) 373-0400
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 3002 | GA | |
| Acupuncturist | 171100000X | 031958 | GA | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 031958 | GA |
Addresses
Primary practice location
1376 Church St
Decatur, GA 30030-1519
Mailing address
1376 Church St
Decatur, GA 30030-1519
Phone (404) 373-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11627735 | Other | GA | CAQH |
National Provider Directory
National Provider DirectoryLocations
1376 Church St
Decatur, GA 30030
Phone (404) 325-0820
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Decatur, GA
- NPI 1508043282
-
- Physical Medicine & Rehabilitation Physician
- Decatur, GA
- NPI 1942540380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1821143298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1376 CHURCH ST",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301519",
"telephone_number": "404-373-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1376 CHURCH ST",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301519",
"telephone_number": "404-373-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHO-NEURO CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "JOON",
"authorized_official_middle_name": "WHEE",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "404-373-0400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "3002",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "GA",
"license": "031958",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "031958",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11627735",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.