ENVISION A CHIROPRACTIC HEALING, LLC (NPI# 1104269877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104269877 |
| Entity Type | Organization |
| Organization Name | ENVISION A CHIROPRACTIC HEALING, LLC |
| Practice Address |
572 Maddox Dr Ste 205 East Ellijay GA 30540-4000 |
| Practice Telephone | 7066977463 |
| Mailing Telephone | 7066977463 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |
| Authorized Official Name | DR. DEBRAH K SWANBERG-GROSSMAN (OWNER/DIRECTOR) |
| Authorized Official Telephone | 7066977463 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
CHIR002792 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE LICENSE | CHIR002792 | 01 |
| Street Address |
572 MADDOX DR STE 205 |
| City | EAST ELLIJAY |
| State | GA |
| Zip Code | 30540-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760929517 | Sandi Lynn Harris | Pharmacist | 192 1st St, East Ellijay, GA 30540 | 2017-01-31 |
| 1194028688 | Heartlite Hospice Ellijay, Inc. | Hospice Care, Community Based | 163 Dalton Street, East Ellijay, GA 30540 | 2010-12-06 |
| 1972816874 | Nicole Penland Bond | Nurse Practitioner | 174 Highland Crossing East, East Ellijay, GA 30540 | 2010-07-20 |
| 1689994477 | Immediate Medcare, LLC | Clinic/Center | 174 Highland Crossing South, East Ellijay, GA 30540 | 2010-06-03 |
| 1316274830 | Huffs Select Care Clinic PC | Clinic/Center | 136-a Industrial Blvd, Ellijay, GA 30540 | 2009-11-04 |
| 1598924615 | Hospice Advantage, LLC. | Hospice Care, Community Based | 583 Highland Xing, Suite 120, East Ellijay, GA 30540 | 2008-06-04 |
| 1083891196 | Roy Elie Abrahamian | Internal Medicine | 309 Highland Pkwy Ste 200, East Ellijay, GA 30540 | 2008-01-31 |
| 1285817213 | Quality Respi-care Inc | Durable Medical Equipment & Medical Supplies | 97 Hefner St Ste 102, East Ellijay, GA 30540 | 2007-12-13 |
| 1275738163 | Jennifer Moss Houle | Technician, Other | 7 Depot Street, Ellijay, GA 30540 | 2007-06-19 |
| 1265633697 | Alicia S Lovelace | Specialist | 630 Blazing Star Rd, Ellijay, GA 30540 | 2007-05-31 |
| Find all providers in zip 30540 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1992321301 | Hope Harbor Wellness LLC | Clinic/Center | 126 Enterprise Path Ste 208, Hiram, GA 30141-2654 | 2020-06-22 |
| 1447875307 | Georgia Palliative Services, LLC | Clinic/Center | 3660 Cedarcrest Rd Ste 120, Acworth, GA 30101-8928 | 2020-06-16 |
| 1548884000 | 2 Wolves Inc | Clinic/Center | 783 S Main St Ste 5, Cleveland, GA 30528-4519 | 2020-06-01 |
| 1245860816 | The Wellness Sanctuary, Inc | Clinic/Center | 206 Rogers St Ne Apt 117, Atlanta, GA 30317-1035 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
| City | EAST ELLIJAY |
| Zip Code | 30540 |
Please comment or provide details below to improve the information on ENVISION A CHIROPRACTIC HEALING, LLC.
| 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.