Individual provider Active NPI

Stephanie Nicole Ramos Plaza, DC

  • Chiropractor
  • Norcross, GA
National Provider Identifier
1891500864
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR011350 Issued in GA
Practice address
3081 Holcomb Bridge Rd Ste J1
Norcross, GA 30071-1396
Phone
(770) 559-9392
NPI assigned
Feb 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR011350 GA Primary

Addresses

Primary practice location

3081 Holcomb Bridge Rd Ste J1
Norcross, GA 30071-1396

Mailing address

2205 Lake Park Dr SE Apt Q
Smyrna, GA 30080-8970
Phone (470) 495-7796

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410002777 GA Practitioner - Chiropractic 2365966397

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2205 Lake Park Dr SE
Apt Q
Smyrna, GA 30080-8970

3175 Norwood St
Cuyahoga Falls, OH 44221-1556

539 W Commerce St
Suite 1140
Dallas, TX 75208-1953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR011350GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy LLC CurrentSince Feb 6, 2025 Accepting new patients

Locations

855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336

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": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1891500864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 LAKE PARK DR SE APT Q",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808970",
            "telephone_number": "470-495-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 HOLCOMB BRIDGE RD STE J1",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711396",
            "telephone_number": "770-559-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS PLAZA",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.