Individual provider Active NPI

Alisha Gaulden, DC

  • Independent Medical Examiner Chiropractor
  • Marietta, GA
National Provider Identifier
1851985147
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
CHRI010425 Issued in GA
Practice address
925 Whitlock Ave SW Apt 1309
Marietta, GA 30064-1979
Phone
(504) 345-7231
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X CHRI010425 GA Primary

Addresses

Primary practice location

925 Whitlock Ave SW Apt 1309
Marietta, GA 30064-1979

Mailing address

1000 Whitlock Ave NW Ste 320
Marietta, GA 30064-5449
Phone (504) 345-7231

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Marietta

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

LicenseStateTypeSpecialty
CHRI010425GAMDIndependent Medical Examiner Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1851985147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WHITLOCK AVE NW STE 320",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645449",
            "telephone_number": "504-345-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WHITLOCK AVE SW APT 1309",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641979",
            "telephone_number": "504-345-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAULDEN",
        "first_name": "ALISHA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "GA",
            "license": "CHRI010425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Marietta",
            "affiliation": "N",
            "address_1": "925 Whitlock Ave SW Apt 1309",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300641979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.