Individual provider Active NPI

Amanda Love, DC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1861853103
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009317 Issued in GA
Practice address
1642 Roswell Rd
Marietta, GA 30062-3621
Phone
(770) 450-1200
Fax
(678) 648-5504
NPI assigned
Mar 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009317 GA Primary

Addresses

Primary practice location

1642 Roswell Rd
Marietta, GA 30062-3621

Mailing address

1642 Roswell Rd
Marietta, GA 30062-3621
Phone (770) 450-1200

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009317GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Center PastSince Feb 7, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amanda.love.p1@direct.life.nextgenshare.com

Organizations & group practices 1

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": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1861853103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623621",
            "telephone_number": "770-450-1200",
            "fax_number": "678-648-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623621",
            "telephone_number": "770-450-1200",
            "fax_number": "678-648-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 15, 2016; 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.