Lost Mountain Chiropractic Family and Pediatrics LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LOST MOUNTAIN CHIROPRACTIC FAMILY AND PEDIATRICS LLC

Practice address

1685 Mars Hill Rd NW Ste 103
Acworth, GA 30101-7180

Phone

(770) 218-0400

Fax

(770) 218-1160

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Brenna Renee Roden, DCNPI 1689295081

Title

Chiropractor

Phone

(770) 218-0400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenna Renee Roden, DC

  • Chiropractor
  • Acworth, GA
  • NPI 1689295081
  Medicare reassignment NPD Authorized official
• Delaram Shekarriz, DC

  • Chiropractor
  • Irvine, CA
  • NPI 1821513706
  NPD
• Patricia E Cohen, DC

  • Chiropractor
  • Acworth, GA
  • NPI 1659438182
  NPD (past)
• Noelia Maria Gonzalez Ferran, DC

  • Chiropractor
  • Acworth, GA
  • NPI 1275455297
  NPD (past)
• Philip A Librone, D.C.

  • Chiropractor
  • Acworth, GA
  • NPI 1669551842
  NPD (past)
• Marcelo N Gerjoi, PA-C

  • Physician Assistant
  • Pensacola, FL
  • NPI 1821276676

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1841802014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 MARS HILL RD NW STE 103",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017180",
            "telephone_number": "770-218-0400",
            "fax_number": "770-218-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 MARS HILL RD NW STE 103",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017180",
            "telephone_number": "770-218-0400",
            "fax_number": "770-218-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOST MOUNTAIN CHIROPRACTIC FAMILY AND PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "RODEN",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "770-218-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lone Shepherd Homecare Services
• Treasure Lone
• Timothy Carlton Lonergan, PT, DPT
• Kimberly Dawn Long, M.S., R.D., L.D.
• Peter Efufe Longonje, ACNP
• Amy A Lott, PHARMD
• Lukas Specific Chiropractic, P.C
• Simon Peter Peter Lukwago
• Danielle Alexandra Lullie, PTA
• Katie Luman

• Chiropractor in Acworth, GA
• Providers in Acworth, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.