Organization Active NPI

Wellhealth Chiropractic Center

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1952562985
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
GA006713 Issued in GA
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

Updated by the provider on May 17, 2012

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.