ATLANTA SPORTS & INJURY CENTERS FOR REHAB (NPI# 1427397827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427397827 |
| Entity Type | Organization |
| Organization Name | ATLANTA SPORTS & INJURY CENTERS FOR REHAB |
| Practice Address |
100 Eagles Walk Suite B Stockbridge GA 30281-6335 |
| Practice Telephone | 7709090590 |
| Practice Fax Number | 7709091045 |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |
| Authorized Official Name | DR. ANTAURES JACKSON (MANAGER) |
| Authorized Official Telephone | 7709090590 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
100 EAGLES WALK SUITE B |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-6335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174615116 | Ira Charles Robinson II | Internal Medicine | 100 Eagles Walk, Suite A, Stockbridge, GA 30281-6335 | 2006-09-28 |
| 1346593852 | Montrese Pitmon Alleyne | Nurse Practitioner | 100 Eagles Walk, Suite A, Stockbridge, GA 30281-6335 | 2012-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| 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 |
|---|---|---|---|---|
| 1144675653 | Patrick Edward Kulmacz | Chiropractor | 9905 N Davidson Pkwy Ste 107, Stockbridge, GA 30281-4200 | 2016-05-03 |
| 1619375391 | Roger Holloway | Chiropractor | 535 Engine Run, Stockbridge, GA 30281 | 2014-12-12 |
| 1659716355 | Andrea Shannon | Chiropractor | 5430 N Henry Blvd Ste 100, Stockbridge, GA 30281-3270 | 2013-05-08 |
| 1194086678 | Maxcare Medical Center, LLC | Chiropractor | 150 Medical Blvd Ste C, Stockbridge, GA 30281-5053 | 2012-05-31 |
| 1558549519 | Magee Family Chiropractic, Inc. | Chiropractor | 942 Eagles Landing Pkwy., Stockbridge, GA 30281 | 2008-02-01 |
| 1639390529 | Jamie Magee | Chiropractor | 942 Eagles Landing Pkwy, Stockbridge, GA 30281-7343 | 2007-05-01 |
| 1386774529 | Chirowise, Inc. | Chiropractor | 102 Vincent Ave, Stockbridge, GA 30281-5049 | 2007-03-06 |
| 1043350309 | Chiropractic Solutions | Chiropractor | 875 Hwy 138 W Ste 1, Stockbridge, GA 30281 | 2007-02-07 |
| 1700937679 | Patricia Lashaun Evans | Chiropractor | 550 Eagles Landing Pkwy, Suite 205, Stockbridge, GA 30281-9081 | 2007-01-16 |
| 1932259991 | Paulk Chiropractic Stockbridge,inc | Chiropractor | 9905 N Davidson Pkwy, Suite 107, Stockbridge, GA 30281-4200 | 2007-01-11 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on ATLANTA SPORTS & INJURY CENTERS FOR REHAB.
| 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.