Active NPI
Wellhealth Chiropractic Center
- Chiropractor
- Atlanta, GA
National Provider Identifier
1952562985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- GA006713
- Legal business name
- WELLHEALTH CHIROPRACTIC CENTER
- Practice address
- 1720 Phoenix Blvd
Suite 450
Atlanta, GA 30349-5594 - Phone
- (770) 909-0590
- NPI assigned
- Jun 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Antaures D Jackson, D.C.
- Title
- President
- Phone
- (770) 909-0590
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | GA006713 | GA | Primary |
Addresses
Primary practice location
1720 Phoenix Blvd
Suite 450
Atlanta, GA 30349-5594
Mailing address
1720 Phoenix Blvd
Suite 450
Atlanta, GA 30349-5594
Phone (770) 909-0590
National Provider Directory
National Provider DirectoryLocations
5515 Riverdale Rd
Ste B
College Park, GA 30349
Phone (770) 909-0590
100 Eagles Walk
Ste B
Stockbridge, GA 30281
Phone (770) 389-0566
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Stockbridge, GA
- NPI 1104925106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337212800000",
"number": "1952562985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 PHOENIX BLVD",
"address_2": "SUITE 450",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303495594",
"telephone_number": "770-909-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 PHOENIX BLVD",
"address_2": "SUITE 450",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303495594",
"telephone_number": "770-909-0590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLHEALTH CHIROPRACTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-23",
"last_updated": "2012-05-17",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "ANTAURES",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-909-0590",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "GA006713",
"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 May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.