NPIMap

Individual provider Active NPI

Gonzalo Manuel Prados, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1982983144
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006475 Issued in GA
Practice address
3369 Buford Hwy NE
Suite 830 B
Atlanta, GA 30329-3722
Phone
(404) 966-3477
NPI assigned
Aug 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006475 GA Primary

Addresses

Primary practice location

3369 Buford Hwy NE
Suite 830 B
Atlanta, GA 30329-3722

Mailing address

250 Montrose Dr
McDonough, GA 30253-4242
Phone (404) 966-3477

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR006475GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowhead Clinic, Inc. Chiropractor Past Accepting new patients
Athens Chiropractic & Therapy Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1982983144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MONTROSE DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534242",
            "telephone_number": "404-966-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 BUFORD HWY NE",
            "address_2": "SUITE 830 B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293722",
            "telephone_number": "404-966-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADOS",
        "first_name": "GONZALO",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006475",
            "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 5, 2011; 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.