Organization Active NPI

Tunica Chiropractic, Inc.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1952458317
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009141 Issued in GA
Legal business name
TUNICA CHIROPRACTIC, INC.
Practice address
1224 Defoor Village CT NW
Atlanta, GA 30318-2995
Phone
(404) 323-8122
NPI assigned
Jan 5, 2007
Last updated
Jun 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Jeremy S Thompson, D.C.NPI 1366719361
Title
Chiropractor/Owner
Phone
(404) 323-8122

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1185 MS
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1098 MS
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CHIR009141 GA Primary

Addresses

Primary practice location

1224 Defoor Village CT NW
Atlanta, GA 30318-2995

Mailing address

PO Box 19623
Atlanta, GA 30325-0623
Phone (404) 323-8122

National Provider Directory

National Provider Directory

Locations

3444 Casino Way Blvd
Robinsonville, MS 38664
Phone (662) 363-5800

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1952458317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19623",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303250623",
            "telephone_number": "404-323-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 DEFOOR VILLAGE CT NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182995",
            "telephone_number": "404-323-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNICA CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "404-323-8122",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1185",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1098",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009141",
            "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 Jun 27, 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.