DR. MICHAL J NESNICK (NPI# 1417136797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417136797 |
| Entity Type | Individual |
| Full Name | DR. MICHAL J NESNICK |
| Credential | D.C. |
| Practice Address |
1025 Rose Creek Dr Ste 340 Woodstock GA 30189 |
| Practice Telephone | 7705162323 |
| Practice Fax Number | 7705162219 |
| Mailing Telephone | 7705162323 |
| Mailing Fax Number | 7705162219 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2017-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHIRO006625 | GA | Chiropractic Providers |
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHIR006625 | GA | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CHIRO006625 | GA | Chiropractic Providers |
| Street Address |
1025 ROSE CREEK DR STE 340 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659651925 | Abigail Austin Donaldson | Chiropractor | 1025 Rose Creek Dr, Suite 340, Woodstock, GA 30189-6797 | 2011-08-18 |
| 1780829002 | Discover Wellness, LLC | Chiropractor | 1025 Rose Creek Dr, Suite 340, Woodstock, GA 30189-6797 | 2008-12-16 |
| 1760662902 | Longer Life Services of Ga Corporation | Family Medicine | 1025 Rose Creek Dr, Suite 620-173, Woodstock, GA 30189-6797 | 2007-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912928185 | Glenn Richard Eltz | Chiropractor | 8720 Main St, Suite 120, Woodstock, GA 30188-4946 | 2006-07-22 |
| 1275088056 | Jonathan P. Snow LLC | Chiropractor | 301 Gold Creek Trl, Woodstock, GA 30188-5404 | 2016-08-22 |
| 1568476760 | Alan Dennis Anderson | Chiropractor | 8720 Main St, Suite 120, Woodstock, GA 30188-4946 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954103 | James Killeen Jr. | Chiropractor | 3570 Old Milton Pkwy, Alpharetta, GA 30005-4464 | 2020-05-27 |
| 1366002412 | Carla Michelle Marrero-sanchez | Chiropractor | 4343 Shallowford Rd Ste H6, Marietta, GA 30062-5023 | 2019-06-19 |
| 1821564543 | Kenya Edwards | Chiropractor | 1290 Boulevard Lorraine Sw, Atlanta, GA 30311-3354 | 2018-10-20 |
| 1891297719 | Tasmin Fanning | Chiropractor | 44 Krog Street Northeast, 518, Atlanta, GA 30307-3030 | 2018-03-07 |
| 1114330362 | Advanced Family Wellness, L.L.C. | Chiropractor | 555 Sun Valley Dr Ste A3, Roswell, GA 30076-5606 | 2014-06-05 |
| 1518381938 | Sports Performance Concepts, LLC | Chiropractor | 9810b Medlock Bridge Rd, Suite 104, Johns Creek, GA 30097-2011 | 2014-02-05 |
| 1720424310 | Georgia Gwinnett Clinic | Chiropractor | 2856 Buford Highway, Suite 7, Duluth, GA 30096 | 2013-05-22 |
| 1023381704 | Jinjiang Li | Chiropractor | 4018 Nine Mcfarland Dr, Alpharetta, GA 30004-3384 | 2012-02-11 |
| 1336434109 | Byung Yull Kim | Chiropractor | 2856 Buford Hwy, Suite 7, Duluth, GA 30096-3400 | 2011-06-09 |
| 1760775852 | Zoila Rosa Stewart | Chiropractor | 1374 Pair St Se, Marietta, GA 30008-3807 | 2011-05-23 |
| Find all providers with the same taxonomy | ||||
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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.