NPIMap

Organization Active NPI

Life Time Care

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1902176233
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
02787 Issued in GA
Legal business name
LIFE TIME CARE
Practice address
2993 Sandy Plains Rd
Suite 115
Marietta, GA 30066-4695
Phone
(404) 273-2736
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Dr. Peter J Williams, D.C.
Title
Owner
Phone
(404) 273-2736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 02787 GA Primary

Addresses

Primary practice location

2993 Sandy Plains Rd
Suite 115
Marietta, GA 30066-4695

Mailing address

2993 Sandy Plains Rd
Suite 115
Marietta, GA 30066-4695

National Provider Directory

National Provider Directory

Locations

2993 Sandy Plains Rd
Ste 115
Marietta, GA 30066
Phone (404) 632-4804

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1902176233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2993 SANDY PLAINS RD",
            "address_2": "SUITE 115",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 SANDY PLAINS RD",
            "address_2": "SUITE 115",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664695",
            "telephone_number": "404-273-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TIME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-273-2736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "02787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.