NPIMap

Organization Active NPI

Jorge a. Bueno Chiropractic LLC

  • Nutrition Chiropractor
  • Acworth, GA
National Provider Identifier
1962679340
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
CHIR007057 Issued in GA
Legal business name
JORGE A. BUENO CHIROPRACTIC LLC
Practice address
2161 Cedarcrest Rd Ste 115
Acworth, GA 30101-6404
Phone
(678) 574-4878
Fax
(678) 574-4899
NPI assigned
May 14, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Jorge Bueno, DCNPI 1114078474
Title
Doctor/Owner
Phone
(770) 386-0222

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

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080414000431 GA Part B Supplier - Clinic/Group Practice 1456438506 Receives reassigned benefits from 1 practitioner
Practice locations: Acworth, GA; Douglasville, GA

National Provider Directory

National Provider Directory

Locations

1350 Joe Frank Harris Pkwy SE
Ste 102
Cartersville, GA 30120

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X CHIR007057 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

2161 Cedarcrest Rd Ste 115
Acworth, GA 30101-6404

Mailing address

2161 Cedarcrest Rd Ste 115
Acworth, GA 30101-6404
Phone (770) 386-0222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2026.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1962679340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 CEDARCREST RD STE 115",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016404",
            "telephone_number": "770-386-0222",
            "fax_number": "678-574-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 CEDARCREST RD STE 115",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016404",
            "telephone_number": "678-574-4878",
            "fax_number": "678-574-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE A. BUENO CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "BUENO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "770-386-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "GA",
            "license": "CHIR007057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.