Happy Spine Healthy Life Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009960 Issued in GA

Legal business name

HAPPY SPINE HEALTHY LIFE CHIROPRACTIC, LLC

Practice address

4530 Nelson Brogdon Blvd
Buford, GA 30518-5412

Phone

(770) 271-8949

NPI assigned

Nov 3, 2017

Last updated

Nov 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly McKenzie Bohan, DC

Title

Chiropractor

Phone

(678) 595-4320

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly McKenzie Stone, DC

  • Chiropractor
  • Buford, GA
  • NPI 1912418955
  NPD

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1861904450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 PORT WEST DR",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300114607",
            "telephone_number": "678-595-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 NELSON BROGDON BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185412",
            "telephone_number": "770-271-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY SPINE HEALTHY LIFE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "BOHAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MCKENZIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "678-595-4320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912418955",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.