Organization Active NPI

Life-Wellness & Chiropractic, PC

  • Nutrition Chiropractor
  • Smyrna, GA
National Provider Identifier
1891900650
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
06412 Issued in GA
Legal business name
LIFE-WELLNESS & CHIROPRACTIC, PC
Practice address
735 Windy Hill Rd SE
Smyrna, GA 30080-1859
Phone
(770) 432-7676
Fax
(770) 432-7646
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mitch Ergas, D.C.NPI 1346454576
Title
Chiropractor
Phone
(770) 432-7676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 06412 GA Primary

Addresses

Primary practice location

735 Windy Hill Rd SE
Smyrna, GA 30080-1859

Mailing address

735 Windy Hill Rd SE
Smyrna, GA 30080-1859
Phone (770) 432-7676

National Provider Directory

National Provider Directory

Locations

735 Windy Hill Rd SE
Smyrna, GA 30080
Phone (770) 432-7676

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891900650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 WINDY HILL RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801859",
            "telephone_number": "770-432-7676",
            "fax_number": "770-432-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 WINDY HILL RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801859",
            "telephone_number": "770-432-7676",
            "fax_number": "770-432-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE-WELLNESS & CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERGAS",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "770-432-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "GA",
            "license": "06412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.