Individual provider Active NPI

James Paul Ferrante Jr., DC

  • Chiropractor
  • Kennesaw, GA
National Provider Identifier
1841838356
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
010298 Issued in GA
Practice address
1301 Shiloh Rd NW Ste 420
Kennesaw, GA 30144-7152
Phone
(470) 308-4108
NPI assigned
Dec 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 010298 GA Primary

Addresses

Primary practice location

1301 Shiloh Rd NW Ste 420
Kennesaw, GA 30144-7152

Mailing address

1301 Shiloh Rd NW Ste 420
Kennesaw, GA 30144-7152
Phone (470) 308-4108

Other practice location 1

487 Roswell St NE
Marietta, GA 30060-2066
Phone (631) 786-6139 ext. 63178

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207002956 GA Practitioner - Chiropractic 6002264660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1301 Shiloh Rd NW
Suite 420
Kennesaw, GA 30144-7152
Phone (470) 308-4108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010298GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Performance Chiropractic & Wellness LLC. Chiropractor CurrentSince Nov 4, 2023 Accepting new patients
Optimum Performance Chiropractic & Wellness LLC. Chiropractor CurrentSince Jun 18, 2023 Accepting new patients
LPC Alpharetta LLC Chiropractor PastSince Nov 1, 2023 Accepting new patients

Locations

11381 Southbridge Pkwy
Alpharetta, GA 30022
Phone (770) 521-9008

11130 State Bridge Rd
Ste C102
Johns Creek, GA 30022
Phone (678) 403-2121

1301 Shiloh Rd NW
Ste 420
Kennesaw, GA 30144
Phone (470) 308-4108

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1841838356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 420",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447152",
            "telephone_number": "470-308-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 420",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447152",
            "telephone_number": "470-308-4108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "487 Roswell St NE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300602066",
            "country_code": "US",
            "telephone_number": "631-786-6139 x63178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRANTE",
        "first_name": "JAMES",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-16",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "010298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.