NPIMap

Organization Active NPI

Health for Life Chiropractic

  • Chiropractor
  • Douglasville, GA
National Provider Identifier
1821206368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR002812 Issued in GA
Legal business name
HEALTH FOR LIFE CHIROPRACTIC
Practice address
2080 Fairburn Rd
Ste F
Douglasville, GA 30135
Phone
(770) 489-0187
Fax
(770) 920-0364
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edmond E. Hattaway, DCNPI 1386714319
Title
President
Phone
(770) 489-0187

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 CHIR002812 GA Primary

Addresses

Primary practice location

2080 Fairburn Rd
Ste F
Douglasville, GA 30135

Mailing address

Pobox 1171
Douglasville, GA 30133-1171
Phone (770) 489-0187

National Provider Directory

National Provider Directory

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821206368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POBOX 1171",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301331171",
            "telephone_number": "770-489-0187",
            "fax_number": "770-920-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 FAIRBURN RD",
            "address_2": "STE F",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "770-489-0187",
            "fax_number": "770-920-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH FOR LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATTAWAY",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-489-0187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.