Organization Active NPI

Atlanta Community Chiropractic LLC

Doing business as Atlanta Community Chiropractic

  • Chiropractor
  • Forest Park, GA
National Provider Identifier
1881395648
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ATLANTA COMMUNITY CHIROPRACTIC LLC
Doing business as
Atlanta Community Chiropractic
Practice address
425 Forest Pkwy Ste 111
Forest Park, GA 30297-2135
Phone
(404) 343-2017
Fax
(404) 343-2583
NPI assigned
Mar 16, 2023
Last updated
Jun 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Astri L Avila
Title
Owner
Phone
(404) 268-3561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

425 Forest Pkwy Ste 111
Forest Park, GA 30297-2135

Mailing address

425 Forest Pkwy Ste 111
Forest Park, GA 30297-2135
Phone (404) 343-2017

Other names 1

  • Atlanta Community Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231018002571 GA Part B Supplier - Clinic/Group Practice 1254786700 Receives reassigned benefits from 2 practitioners
Practice locations: Forest Park, GA

National Provider Directory

National Provider Directory

Locations

4930 Governors Dr
Ste 111
Forest Park, GA 30297

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1881395648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 FOREST PKWY STE 111",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972135",
            "telephone_number": "404-343-2017",
            "fax_number": "404-343-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 FOREST PKWY STE 111",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972135",
            "telephone_number": "404-343-2017",
            "fax_number": "404-343-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA COMMUNITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "ASTRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-268-3561"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Community Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.