NPIMap

Organization Active NPI

Exodus Health Center

  • Chiropractor
  • Kennesaw, GA
National Provider Identifier
1912396318
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008414 Issued in GA
Legal business name
EXODUS HEALTH CENTER
Practice address
2750 Jiles Rd NW
Suite 105
Kennesaw, GA 30144-7327
Phone
(770) 420-0492
Fax
(770) 420-0522
NPI assigned
Jan 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. David Jockers, D.C.NPI 1003051327
Title
Owner
Phone
(770) 420-0492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR008414 GA Primary

Addresses

Primary practice location

2750 Jiles Rd NW
Suite 105
Kennesaw, GA 30144-7327

Mailing address

2750 Jiles Rd NW
Suite 105
Kennesaw, GA 30144-7327
Phone (770) 420-0492

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1912396318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 JILES RD NW",
            "address_2": "SUITE 105",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447327",
            "telephone_number": "770-420-0492",
            "fax_number": "770-420-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 JILES RD NW",
            "address_2": "SUITE 105",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447327",
            "telephone_number": "770-420-0492",
            "fax_number": "770-420-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "JOCKERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-420-0492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.