Individual provider Active NPI

Timothy J Dembowski, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1891801676
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6540 Issued in GA
Practice address
1801 Peachtree St NE
Suite 250
Atlanta, GA 30309-1815
Phone
(404) 872-8837
NPI assigned
Aug 22, 2006
Last updated
Apr 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6540 GA Primary

Addresses

Primary practice location

1801 Peachtree St NE
Suite 250
Atlanta, GA 30309-1815

Mailing address

1801 Peachtree St NE
Suite 250
Atlanta, GA 30309-1815
Phone (404) 872-8837

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000649 GA Practitioner - Chiropractic 1355321969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Lincoln Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Medical Clinic of Midtown LLCGroup PAC ID 8820444706, 6 clinicians

Practice addresses (Care Compare)

197 14TH St NW
Suite 300B
Atlanta, GA 30318-7815
Phone (404) 872-8837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6540GAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Metabolic Health of Lawrenceville Current Accepting new patients
Atlanta Medical Clinic of Midtown LLC CurrentSince Sep 22, 2023 Accepting new patients
Atlanta Medical Clinic L L C Chiropractor CurrentSince Apr 1, 2010 Accepting new patients
Only One Hub Past Accepting new patients

Locations

1801 Peachtree St NE
Ste 250
Atlanta, GA 30309
Phone (404) 323-3233

197 14th St NW
Ste 300
Atlanta, GA 30318
Phone (404) 872-8837

197 14th St NW
Ste 300B
Atlanta, GA 30318
Phone (404) 872-8837

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1891801676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 PEACHTREE ST NE",
            "address_2": "SUITE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091815",
            "telephone_number": "404-872-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PEACHTREE ST NE",
            "address_2": "SUITE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091815",
            "telephone_number": "404-872-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBOWSKI",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.