NPIMap

Organization Active NPI

Wellnessone of Buckhead

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1962693481
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO08149 Issued in GA
Legal business name
WELLNESSONE OF BUCKHEAD
Practice address
3165 Peachtree Rd NE Ste E
Atlanta, GA 30305-1851
Phone
(404) 869-1973
Fax
(404) 869-1976
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Keysa Murrell
Title
HR Direcor
Phone
(770) 850-0857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIRO08149 GA Primary

Addresses

Primary practice location

3165 Peachtree Rd NE Ste E
Atlanta, GA 30305-1851

Mailing address

PO Box 672351
Marietta, GA 30006-0040
Phone (404) 869-1973

National Provider Directory

National Provider Directory

Locations

3165 Peachtree Rd NE
Ste E
Atlanta, GA 30305
Phone (404) 869-1973

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1962693481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672351",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300060040",
            "telephone_number": "404-869-1973",
            "fax_number": "404-869-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 PEACHTREE RD NE STE E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051851",
            "telephone_number": "404-869-1973",
            "fax_number": "404-869-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESSONE OF BUCKHEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "MURRELL",
        "authorized_official_first_name": "KEYSA",
        "authorized_official_title_or_position": "HR DIRECOR",
        "authorized_official_telephone_number": "770-850-0857"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO08149",
            "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 Aug 8, 2007; 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.