Organization Active NPI

Peachtree Wellness Center, PC

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1942418835
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005228 Issued in GA
Legal business name
PEACHTREE WELLNESS CENTER, PC
Practice address
1401 Peachtree St NE
Suite 160
Atlanta, GA 30309-3023
Phone
(404) 475-0386
Fax
(404) 475-0443
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Dr. Michael Louis Gellman, DC
Title
Owner
Phone
(404) 475-0386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 005228 GA Primary

Addresses

Primary practice location

1401 Peachtree St NE
Suite 160
Atlanta, GA 30309-3023

Mailing address

1401 Peachtree St NE
Suite 160
Atlanta, GA 30309-3023
Phone (404) 475-0386

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1942418835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PEACHTREE ST NE",
            "address_2": "SUITE 160",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093023",
            "telephone_number": "404-475-0386",
            "fax_number": "404-475-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PEACHTREE ST NE",
            "address_2": "SUITE 160",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093023",
            "telephone_number": "404-475-0386",
            "fax_number": "404-475-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE WELLNESS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "GELLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-475-0386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "005228",
            "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 3, 2011; 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.