Active NPI
Carl Amodio, D.C.
- Neurology Chiropractor
- Roswell, GA
National Provider Identifier
1831480698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 007002
- Practice address
- 555 Sun Valley Dr
Suite A1
Roswell, GA 30076-5612 - Phone
- (770) 993-4633
- NPI assigned
- Apr 28, 2011
- Last updated
- Apr 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 007002 | GA | Primary |
Addresses
Primary practice location
555 Sun Valley Dr
Suite A1
Roswell, GA 30076-5612
Mailing address
555 Sun Valley Dr
Suite A1
Roswell, GA 30076-5612
Phone (770) 993-4633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007002 | GA | MD | Neurology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1831480698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 SUN VALLEY DR",
"address_2": "SUITE A1",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765612",
"telephone_number": "770-993-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SUN VALLEY DR",
"address_2": "SUITE A1",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765612",
"telephone_number": "770-993-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMODIO",
"first_name": "CARL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-28",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "GA",
"license": "007002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
- Amedisys Georgia, L.L.C. (Central Home Health, an Amedisys Company)
- Amenity Home Care of Georgia LLC
- American Homepatient, Inc.
- American Medical Senior Services
- Hiral Amin, RBT
- Mary G Amos, LMFT, TH.M
- Anyea Anderson, LMSW
- Brooke S Anderson, MD
- Christina Elizabeth Anderson, BCBA
- Lauren Michelle Anderson, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.