Individual provider Active NPI

Judd Stuart Weinberg, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1902941701
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007525 Issued in GA
Practice address
1155 Hammond Dr NE
D4285
Atlanta, GA 30328-5320
Phone
(770) 522-9800
Fax
(770) 522-9897
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007525 GA Primary

Addresses

Primary practice location

1155 Hammond Dr NE
D4285
Atlanta, GA 30328-5320

Mailing address

6849 Peachtree-Dunwoody Rd
Building B-4, Suite 100
Atlanta, GA 30328
Phone (678) 772-0225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714000123 GA Practitioner - Chiropractic 9537148630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6849 Peachtree Dunwoody Rd
Suite 100
Atlanta, GA 30328-1608
Phone (770) 522-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007525GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Life Health Center L.L.C CurrentSince Aug 20, 2007 Accepting new patients

Locations

6849 Peachtree Dunwoody Rd
Bldg 4
Sandy Springs, GA 30328
Phone (678) 856-8030

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1902941701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 PEACHTREE-DUNWOODY RD",
            "address_2": "BUILDING B-4, SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "678-772-0225",
            "fax_number": "770-522-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 HAMMOND DR NE",
            "address_2": "D4285",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285320",
            "telephone_number": "770-522-9800",
            "fax_number": "770-522-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "JUDD",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007525",
            "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 Sep 15, 2015; 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.