Allen Madison Avery III, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007731 Issued in GA

Practice address

2024 Powers Ferry Rd SE
Atlanta, GA 30339-5011

Phone

(404) 394-3768

NPI assigned

Feb 3, 2007

Last updated

Aug 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dream Medical & Rehab Center, LLC

  • Rehabilitation Chiropractor
  • Atlanta, GA
  • NPI 1790018554
  Medicare reassignment Authorized official
• Dream Medical & Rehab, LLC

  • Exclusive Provider Organization
  • Atlanta, GA
  • NPI 1679777932
  NPD (past)

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1902944515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 POWERS FERRY RD SE",
            "address_2": "STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303397217",
            "telephone_number": "404-394-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 POWERS FERRY RD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395011",
            "telephone_number": "404-394-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "ALLEN",
        "middle_name": "MADISON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aveni Care of Ga LLC
• Aventine Injury Center
• Brittany Diane Avera, M.A., CCC-SLP
• Kristen Avera, RD, LD, CDCES
• Tiffany Lachelle Avera
• Arnita F Avery, DPM
• Jordan Avery
• Lenzie Avery
• Rashida Allen Avery, MD
• Sharifa Ruqayah Avery, MD

• Chiropractor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.