NPIMap

Organization Active NPI

Healthy Living Chiropractic and Wellness Center, Inc

  • Health Maintenance Organization
  • Stone Mountain, GA
National Provider Identifier
1922232628
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
07654 Issued in GA
Legal business name
HEALTHY LIVING CHIROPRACTIC AND WELLNESS CENTER, INC
Practice address
2045 Rockbridge Rd
Building 500 Suite 225
Stone Mountain, GA 30087-3551
Phone
(770) 469-7330
Fax
(770) 496-9588
NPI assigned
May 8, 2009
Last updated
Dec 10, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHY LIVING CHIROPRACTIC AND WELLNESS CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Dr. Shaunna Tennise Morrow, D.C.NPI 1902836778
Title
Owner/Chiropractor
Phone
(770) 469-7330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 07654 GA
Health Maintenance Organization 302R00000X 07654 GA Primary
Preferred Provider Organization 305R00000X 07654 GA
Point of Service 305S00000X 07654 GA

Addresses

Primary practice location

2045 Rockbridge Rd
Building 500 Suite 225
Stone Mountain, GA 30087-3551

Mailing address

2045 Rockbridge Rd
Stone Mountain, GA 30087-3551
Phone (770) 469-7330

National Provider Directory

National Provider Directory
Part of
Healthy Living Chiropractic and Wellness Center Inc

Locations

2045 Rockbridge Rd
Stone Mountain, GA 30087
Phone (678) 883-2873

2045 Rockbridge Rd
Bldg 500
Stone Mountain, GA 30087
Phone (770) 469-7330

Practitioners & affiliated clinicians

Practitioners 3

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": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1922232628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 ROCKBRIDGE RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873551",
            "telephone_number": "770-469-7330",
            "fax_number": "770-469-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 ROCKBRIDGE RD",
            "address_2": "BUILDING 500 SUITE 225",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873551",
            "telephone_number": "770-469-7330",
            "fax_number": "770-496-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING CHIROPRACTIC AND WELLNESS CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHY LIVING CHIROPRACTIC AND WELLNESS CENTER",
        "enumeration_date": "2009-05-08",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "SHAUNNA",
        "authorized_official_middle_name": "TENNISE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "770-469-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "GA",
            "license": "07654",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "07654",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "07654",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "07654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.