IAN MICHAEL KOLL (NPI# 1073129441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073129441 |
Entity Type | Individual |
Full Name | IAN MICHAEL KOLL |
Practice Address |
6100 Lake Forrest Dr Ste 320 Atlanta GA 30328-3835 |
Practice Telephone | 4042556027 |
Practice Fax Number | 4042554858 |
Mailing Telephone | 4042556027 |
Mailing Fax Number | 4042554858 |
Enumeration Date | 2020-09-21 |
Last Update Date | 2020-09-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHIR010387 | GA | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | LICENSE NUMBER | CHIR010387 | 01 |
Street Address |
6100 LAKE FORREST DR STE 320 |
City | ATLANTA |
State | GA |
Zip Code | 30328-3835 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
Find all providers in zip 30328 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831713684 | Asia Barclay | Chiropractor | 6855 Foxfire Pl, Atlanta, GA 30349-1384 | 2020-06-07 |
1639793664 | 100 Percent Chiropractic Sberger LLC | Chiropractor | 2250 Marietta Blvd, Suite 303, Atlanta, GA 30318 | 2020-06-05 |
1427672120 | Brittany Guifarro | Chiropractor | 552 Ponce De Leon Ave Ne Ste 552, Atlanta, GA 30308-1806 | 2020-05-29 |
1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
1750900858 | Jill Driver | Chiropractor | 1390 Lanier Blvd Ne, 1409-a, Atlanta, GA 30306 | 2020-04-09 |
1972131043 | Rebecca Katherine Young | Chiropractor | 4895 Atlanta Rd Se Ste 124b, Atlanta, GA 30339-1518 | 2020-04-01 |
1083249734 | Tia Hill | Chiropractor | 457 Flat Shoals Ave Se Ste 4, Atlanta, GA 30316-1962 | 2020-03-03 |
1518599513 | Shawn Robinson | Chiropractor | 659 Auburn Ave Ne Ste G04, Atlanta, GA 30312-1953 | 2020-02-07 |
1174155394 | Keishla Yaritza Roman Ramos | Chiropractor | 3151 Stillhouse Creek Dr Se, Atlanta, GA 30339-3537 | 2020-02-05 |
1285264069 | Shona Nadine Forrester | Chiropractor | 2260 Marietta Blvd Nw Ste 108, Atlanta, GA 30318-2020 | 2020-01-22 |
Find all providers in ATLANTA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.