Individual provider Active NPI

Anna Massalis, DC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1992417794
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO10795 Issued in GA
Practice address
3201 Austell Rd SW
Marietta, GA 30008-6835
Phone
(770) 438-2273
Fax
(770) 438-2046
NPI assigned
Dec 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIRO10795 GA Primary

Addresses

Primary practice location

3201 Austell Rd SW
Marietta, GA 30008-6835

Mailing address

3201 Austell Rd SW
Marietta, GA 30008-6835
Phone (770) 438-2273

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

LicenseStateTypeSpecialty
CHIRO10795GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Warner, D.C. P.C. Chiropractor PastSince Dec 28, 2022 Accepting new patients

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": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1992417794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 AUSTELL RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300086835",
            "telephone_number": "770-438-2273",
            "fax_number": "770-438-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 AUSTELL RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300086835",
            "telephone_number": "770-438-2273",
            "fax_number": "770-438-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSALIS",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO10795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.