HEALTHCHOICE CLINIC OF JOHNS CREEK.L.L.C. (NPI# 1700035037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700035037 |
| Entity Type | Organization |
| Organization Name | HEALTHCHOICE CLINIC OF JOHNS CREEK.L.L.C. |
| Other Organization Name | ATL PAIN INSTITUTE |
| Practice Address |
4535 Winters Chapel Rd Suite B Doraville GA 30360-2705 |
| Mailing Address |
766 Fairfield Dr Marietta GA 30068-4104 |
| Practice Telephone | 6789570266 |
| Practice Fax Number | 6789090659 |
| Mailing Telephone | 4044021903 |
| Mailing Fax Number | 6789090659 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2014-10-22 |
| Authorized Official Name | DR. MATTHEW MICHAEL DIDURO (PRESIDENT/ OWNER) |
| Authorized Official Telephone | 4044021903 |
| Authorized Official Credential | B.S., D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIRO 5305 | GA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Atl Pain Institute | Doing Business As Name - Organization |
| Street Address |
4535 WINTERS CHAPEL RD SUITE B |
| City | DORAVILLE |
| State | GA |
| Zip Code | 30360-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376514638 | Matthew Michael Diduro | Chiropractor | 4535 Winters Chapel Rd, Suite B, Doraville, GA 30360-2705 | 2006-01-26 |
| 1134694045 | Darnell Howard Jr. | Chiropractor | 4535 Winters Chapel Rd, Doraville, GA 30360-2705 | 2018-10-06 |
| 1699214965 | Pain Centers of Atlanta | Clinic/Center | 4535 Winters Chapel Rd, Suite A, Doraville, GA 30360-2705 | 2017-02-19 |
| 1710346325 | Megha Amin | Nurse Practitioner | 4535 Winters Chapel Rd, Doraville, GA 30360-2705 | 2016-02-11 |
| 1932501277 | Atlantic Pain Center | Pain Medicine | 4535 Winters Chapel Rd, Suite B, Doraville, GA 30360-2705 | 2014-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811162068 | Foam Labs Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2745 Bankers Industrial Drive, Atlanta, GA 30360 | 2008-04-29 |
| 1669666376 | Christine Hunt | Case Manager/Care Coordinator | 2928 Aspen Woods Entry, Doraville, GA 30360 | 2007-09-05 |
| 1609937986 | Scott Alan Ackerman | Chiropractor | 5025-h Winters Chapel Road, Atlanta, GA 30360 | 2006-12-12 |
| 1841389723 | Mike Greenberg | Chiropractor | 6035 Peachtree Rd Ste C209, Doraville, GA 30360 | 2006-10-11 |
| 1336124304 | Emanuel Joseph | Preventive Medicine | 3900 Motors Industrial Way, Mcd Doraville, Doraville, GA 30360 | 2005-12-13 |
| 1528436367 | Bioconfirm Laboratories LLC | Clinical Medical Laboratory | 6755 Peachtree Industrial Blvd, Suite 150, Doraville, GA 30360 | 2015-09-10 |
| 1346897725 | Mackenzie Warren | Registered Nurse | 2753 Fleur De Lis Way, Atlanta, GA 30360-1203 | 2019-08-21 |
| 1477973238 | Rebecca Lamont | Behavioral Analyst | 5350 Dunwoody Club Crk, Atlanta, GA 30360-1362 | 2014-04-21 |
| 1396205316 | David Moshe Yashar | Student in an Organized Health Care Education/Training Program | 5381 Dunwoody Club Crk, Atlanta, GA 30360-1363 | 2019-03-25 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| Find all providers in zip 30360 | ||||
| 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 |
|---|---|---|---|---|
| 1023380060 | Serena Gayles | Chiropractor | 5000 Winters Chapel Rd, Suite 1, Doraville, GA 30360-1746 | 2012-02-07 |
| 1376736702 | Sung Yang Dc, PC | Chiropractor | 5715 Buford Hwy Ne, Suite 204, Doraville, GA 30340-1229 | 2007-08-20 |
| 1225242399 | Expert Pain Clinic LLC | Chiropractor | 3042 Oakciff Rd, Site210, Doraville, GA 30340 | 2007-05-09 |
| 1689898496 | Yao Nan Wu | Chiropractor | 5095 Buford Hwy Ne Ste G, Doraville, GA 30340-1119 | 2007-04-12 |
| 1558467621 | Advanced Rehab and Injury Center | Chiropractor | 5312 Buford Hwy Ne, Doraville, GA 30340-1152 | 2006-09-16 |
| 1467486761 | Kyung Oh | Chiropractor | 5441 Buford Hwy # 202, Doraville, GA 30340 | 2006-07-10 |
| 1376514638 | Matthew Michael Diduro | Chiropractor | 4535 Winters Chapel Rd, Suite B, Doraville, GA 30360-2705 | 2006-01-26 |
| 1134694045 | Darnell Howard Jr. | Chiropractor | 4535 Winters Chapel Rd, Doraville, GA 30360-2705 | 2018-10-06 |
| 1639376387 | Mark Thomas Sheridan | Chiropractor | 5725 Buford Hwy Ne, Suite 105, Doraville, GA 30340-1230 | 2007-06-27 |
| 1972725943 | Siavash Parvardegari | Chiropractor | 3042 Oakcliff Rd, Suite 210, Doraville, GA 30340 | 2007-05-02 |
| Find all providers in DORAVILLE | ||||
Please comment or provide details below to improve the information on HEALTHCHOICE CLINIC OF JOHNS CREEK.L.L.C..
| 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.