ATLAS CHIROPRACTIC AND WELLNESS OF CHARLOTTE, PLLC (NPI# 1396263513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396263513 |
| Entity Type | Organization |
| Organization Name | ATLAS CHIROPRACTIC AND WELLNESS OF CHARLOTTE, PLLC |
| Practice Address |
7928 Council Pl Ste 116 Matthews NC 28105-5154 |
| Mailing Address |
Po Box 463 Matthews NC 28106-0463 |
| Practice Telephone | 2695987603 |
| Mailing Telephone | 2695987603 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |
| Authorized Official Name | DR. MARY ELIZABETH SHAFER (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2695987603 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 4279 | NC | Chiropractic Providers |
| N | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
4259 | NC | Chiropractic Providers |
| N | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
4279 | NC | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 4259 | NC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1679837660 | 05 | |
| NC | 1609141571 | 05 |
| Street Address |
7928 COUNCIL PL STE 116 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-5154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| 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 |
|---|---|---|---|---|
| 1982193405 | Derek Farmen | Chiropractor | 10550 Independence Pointe Pkwy Ste 100, Matthews, NC 28105-2691 | 2018-05-10 |
| 1063921674 | Michael Leonard Goetsch | Chiropractor | 434 N Trade St # 103, Matthews, NC 28105-1864 | 2017-09-26 |
| 1639603061 | Polaris Health, Pa | Chiropractor | 11025 Monroe Rd Ste G, Matthews, NC 28105-6556 | 2017-04-12 |
| 1023553898 | Kylie Paige Rabe | Chiropractor | 434 N Trade St, Ste 103, Matthews, NC 28105-1729 | 2017-01-03 |
| 1710373956 | Smith Chiropractic & Nutrition PC | Chiropractor | 13480 E Independence Blvd, Matthews, NC 28105-4958 | 2015-04-14 |
| 1295176360 | Everest Chiropractic and Wellness, Pa | Chiropractor | 725 Park Center Dr, Suite 100, Matthews, NC 28105-5012 | 2013-07-17 |
| 1982951935 | Elizabeth Anne Harrill | Chiropractor | 11025 Monroe Rd, Ste G, Matthews, NC 28105-6556 | 2012-08-09 |
| 1598025405 | Jason Argo | Chiropractor | 2940 Senna Dr Ste B, Matthews, NC 28105-6722 | 2012-05-24 |
| 1811229420 | Gisele Nabuin | Chiropractor | 1035 Murandy Ln, Matthews, NC 28104-8052 | 2010-02-06 |
| 1598097586 | Matthew Craig Westheimer | Chiropractor | 2501b Plantation Center Dr, Matthews, NC 28105-5298 | 2010-02-02 |
| Find all providers in MATTHEWS | ||||
Please comment or provide details below to improve the information on ATLAS CHIROPRACTIC AND WELLNESS OF CHARLOTTE, PLLC.
| 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.