Active NPI
Carol Antonino, D.C., C.C.S.T.
- Chiropractor
- Duluth, GA
National Provider Identifier
1972722411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4729
- Practice address
- 4300 Pleasant Hill Rd
Suite B
Duluth, GA 30096-6379 - Phone
- (770) 623-3050
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4729 | GA | Primary |
Addresses
Primary practice location
4300 Pleasant Hill Rd
Suite B
Duluth, GA 30096-6379
Mailing address
4300 Pleasant Hill Rd
Suite B
Duluth, GA 30096-6379
Phone (770) 623-3050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4729 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pleasant Hill Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
4390 Pleasant Hill Rd
Ste G
Duluth, GA 30096
Phone (702) 523-1883
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972722411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 PLEASANT HILL RD",
"address_2": "SUITE B",
"city": "DULUTH",
"state": "GA",
"postal_code": "300966379",
"telephone_number": "770-623-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 PLEASANT HILL RD",
"address_2": "SUITE B",
"city": "DULUTH",
"state": "GA",
"postal_code": "300966379",
"telephone_number": "770-623-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONINO",
"first_name": "CAROL",
"name_prefix": "Dr.",
"credential": "D.C., C.C.S.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "4729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.