DR. KENYA EDWARDS (NPI# 1821564543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821564543 |
| Entity Type | Individual |
| Full Name | DR. KENYA EDWARDS |
| Credential | DC |
| Practice Address |
1290 Boulevard Lorraine Sw Atlanta GA 30311-3354 |
| Mailing Address |
1717 Indian Woods Rd Lithonia GA 30058-5658 |
| Practice Telephone | 4042906262 |
| Mailing Telephone | 6785181399 |
| Enumeration Date | 2018-10-20 |
| Last Update Date | 2018-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHIR010132 | GA | Chiropractic Providers |
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
CHIR010132 | GA | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CHIR010132 | GA | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1965 N Park Pl Se, Atlanta, GA 303392004 | 6786714010 |
| Street Address |
1290 BOULEVARD LORRAINE SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30311-3354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612694 | Modern Internal Medicine Urgent Care and Primary Care Inc | Clinic/Center | 2457 Martin Luther King Jr, Dr, Sw, Suit A, Atlanta, GA 30311 | 2019-07-27 |
| 1528515053 | Cherese Williams | Counselor | 2636 M L K Jr Dr Sw, Suite 22, Atlanta, GA 30311 | 2016-09-01 |
| 1558754168 | James Edwin Wagner | Licensed Practical Nurse | 377 Peyton Road S W, Atlanta, GA 30311 | 2015-03-07 |
| 1790180131 | Johnny L Johnson | Nutritionist | 3030 Cambelton Rd, Atlanta, GA 30311 | 2014-10-28 |
| 1770718330 | Clayton E. Bell Sr. | Chiropractor | 2905 Campbellton Road, Suite G, Atlanta, GA 30311 | 2009-05-26 |
| 1720243207 | Farida Zohouri | Counselor | 2536 Martin Luther King Jr. Dr. Sw, Atlanta, GA 30311 | 2008-07-23 |
| 1649348962 | Mona Elaine Reynolds | Chiropractor | 3079 Campbellton Road, Suite 205, Atlanta, GA 30311 | 2006-12-04 |
| 1245337211 | Loreen C Doyle-littles | Pediatrics | 1175 Cascade Pkwy, Pediatrics Health Care Team A, Atlanta, GA 30311 | 2006-09-20 |
| 1740383512 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2429 Martin Luther King Jr. Dr., Atlanta, GA 30311 | 2006-09-07 |
| 1407806359 | Booker T Poe | Pediatrics | 2600 Martin Luther King Jr Dr, Ste 202, Atlanta, GA 30311 | 2006-05-11 |
| Find all providers in zip 30311 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083666739 | Gregory Benton Talley | Chiropractor | 1529 Piedmont Ave Ne, Suite, Atlanta, GA 30324-5000 | 2006-05-17 |
| 1740359918 | Joseph J. Cipriano | Chiropractor | 3025 Maple Dr Ne, Suite 2, Atlanta, GA 30305-2618 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235609041 | Dynamic Spine II Center LLC | Chiropractor | 21 Market Square Way Ste 103, Newnan, GA 30265-5712 | 2018-12-05 |
| 1134337223 | W David Hall | Chiropractor | 104 E Hall St, Thomson, GA 30824-2726 | 2007-05-20 |
| 1639214208 | James Kevin Donohue | Chiropractor | 6094 Odell St, Cumming, GA 30040-5704 | 2007-02-21 |
| 1629111505 | Paul V Wickster | Chiropractor | 1590 Prince Ave, Athens, GA 30606-6006 | 2007-02-14 |
| 1851434476 | Harry Ellsworth Siegrist IIi | Chiropractor | 1781 Veterans Memorial Hwy Ste 1a, Austell, GA 30168-7965 | 2007-02-14 |
| 1326193947 | Alejandro Serrano | Chiropractor | 4852 Jimmy Carter Blvd, Norcross, GA 30093-3643 | 2007-01-24 |
| 1972687762 | Jeffrey Berklich | Chiropractor | 1101 Cambridge Sq, Ste B, Alpharetta, GA 30004-1865 | 2006-10-25 |
| 1114001245 | David Saverio Ficco | Chiropractor | 1885 Lawrenceville Suwanee Rd, Suite 130, Lawrenceville, GA 30043-1408 | 2006-10-25 |
| 1073618229 | Katharine Maxine Geier | Chiropractor | 2453 N Decatur Rd, Decatur, GA 30033-6101 | 2006-09-13 |
| 1053420265 | Deborah Caroline Tucker | Chiropractor | 2769 Chastain Meadows Pkwy, 130, Marietta, GA 30066-3369 | 2006-08-30 |
| 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.