NEXUS CHIROPRACTIC LLC (NPI# 1336765924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336765924 |
| Entity Type | Organization |
| Organization Name | NEXUS CHIROPRACTIC LLC |
| Practice Address |
120 Handley Rd Ste 220 Tyrone GA 30290-2176 |
| Mailing Address |
2150 Bryant Pointe Dr Marietta GA 30066-4699 |
| Practice Telephone | 7706317600 |
| Practice Fax Number | 7706317604 |
| Mailing Telephone | 4044557947 |
| Mailing Fax Number | 7706317604 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | DR. KRUTIKA AMULAKH DESAI (OWNER) |
| Authorized Official Telephone | 4044557947 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | UPIN | V10290 | 01 |
| GA | UPIN, INDIVIDUAL NPI | 1578679783 | 01 |
| Other Name | Type Code |
|---|---|
| Nexus Chiropractic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992364749 | Nexus Chiropractic LLC | Chiropractor | 500 N Highway 377 Ste H, Roanoke, TX 76262-6174 | 2019-06-06 |
| Street Address |
120 HANDLEY RD STE 220 |
| City | TYRONE |
| State | GA |
| Zip Code | 30290-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407215361 | Kaitlin Lackey | Occupational Therapist | 105 Glendalough Court, Suite H, Tyrone, GA 30290 | 2016-02-19 |
| 1114211745 | Johannes Daniel Smit | Pharmacist | 525 Valleywood Drive, Tyrone, GA 30290 | 2011-05-31 |
| 1760700199 | Georgia Integrative Medicine | Preventive Medicine | 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 | 2010-05-10 |
| 1427384783 | Exelle Home Care | Home Health | 105 Silverthorn Drive, Tyrone, GA 30290 | 2009-10-21 |
| 1386884138 | Genesys Ob/gyn, LLC | Clinic/Center | 245 Greencastle Road, Tyrone, GA 30290 | 2009-03-05 |
| 1689858805 | Immediate Care Centers of Georgia, LLC | Clinic/Center | 190 Greencastle Rd., Tyrone, GA 30290 | 2007-12-24 |
| 1437212834 | Dawn M Coffman | Physician Assistant | 190 Handley Rd., Tyrone, GA 30290 | 2006-12-18 |
| 1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
| 1053898759 | Heather Renee Ellis | Physical Therapist | 62 Carriage Oaks Dr, Tyrone, GA 30290 | 2018-07-25 |
| 1134630858 | Marjorie Yvette Elibert | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290 | 2017-10-20 |
| Find all providers in zip 30290 | ||||
| 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 |
|---|---|---|---|---|
| 1629343538 | Daniel Clay Johnston | Chiropractor | 1130 Senoia Rd, Suite B4, Tyrone, GA 30290-1678 | 2012-03-12 |
| 1538222872 | Larry Michael Koren | Chiropractor | Rd 4 Box 3a, Tyrone, PA 16686 | 2006-12-18 |
| 1538261284 | Eric A Shearer | Chiropractor | 105 Greencastle Rd Ste B, Tyrone, GA 30290-2945 | 2006-09-02 |
| 1669582599 | Sharon Marie Loggins | Chiropractor | 909 Senoia Rd Ste A, Tyrone, GA 30290-6805 | 2006-08-30 |
| 1164536751 | Fredrick James Moore | Chiropractor | 5523 E Pleasant Valley Blvd, Suite #3, Tyrone, PA 16686-8570 | 2006-08-19 |
| 1124639620 | Art of Life Chiropractic LLC | Chiropractor | 105 Greencastle Rd Ste B, Tyrone, GA 30290-2945 | 2020-08-10 |
| 1548645062 | Southside Family Chiropractic LLC | Chiropractor | 1130 Senoia Rd, Suite B-4, Tyrone, GA 30290-1678 | 2015-07-27 |
| 1346509635 | Dr Anna Chiropractor Services LLC | Chiropractor | 510 Swanson Rd, Tyrone, GA 30290-6900 | 2012-05-08 |
| 1447526140 | Tatum Shepard | Chiropractor | 1130 Senoia Rd, Tyrone, GA 30290-1678 | 2012-03-27 |
| 1508188210 | Peter John Bauth | Chiropractor | 510 Swanson Rd, Tyrone, GA 30290-6900 | 2010-02-22 |
| Find all providers in TYRONE | ||||
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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.