NPIMap

Organization Active NPI

East Atlanta Injury and Wellness

  • Clinic/Center
  • Atlanta, GA
National Provider Identifier
1912248386
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EAST ATLANTA INJURY AND WELLNESS
Practice address
457 Flat Shoals Ave SE
Suite 4
Atlanta, GA 30316-1962
Phone
(404) 549-7223
NPI assigned
Mar 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Dr. Matthew Stone, DC
Title
Officer
Phone
(404) 549-7223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X GA Primary

Addresses

Primary practice location

457 Flat Shoals Ave SE
Suite 4
Atlanta, GA 30316-1962

Mailing address

457 Flat Shoals Ave SE
Suite 4
Atlanta, GA 30316-1962
Phone (404) 549-7223

National Provider Directory

National Provider Directory

Locations

457 Flat Shoals Ave SE
Ste 4
Atlanta, GA 30316
Phone (404) 549-7223

Practitioners & affiliated clinicians

Practitioners 1

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": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1912248386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 FLAT SHOALS AVE SE",
            "address_2": "SUITE 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161962",
            "telephone_number": "404-549-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 FLAT SHOALS AVE SE",
            "address_2": "SUITE 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161962",
            "telephone_number": "404-549-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ATLANTA INJURY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "404-549-7223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": null,
            "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 Mar 11, 2013; 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.