Addison Chiropractic, LLC
Chiropractor in Kennesaw, GA. Organization (NPI-2).
NPI number1659677201
StatusActive
Last updated in NPPESMar 4, 2026
Details
- NPI
- 1659677201
- Entity type
- Organization (NPI-2)
- Legal business name
- Addison Chiropractic, LLC
- Organization subpart
- No
- Enumeration date
- Jan 31, 2011
- Certification date
- Mar 4, 2026
- Last updated
- Mar 4, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | chiro008428 | GA | Yes |
Practice location
1275 Shiloh Rd Nw Ste 2150Kennesaw, GA 30144-7185
Phone 678-809-5773 · Fax 844-593-3413
Mailing address
3307 Chastain Gardens Dr NwKennesaw, GA 30144-3746
Phone 404-867-0705 · Fax 844-593-3413
Authorized official
Jason Floyd Addison
Owner
4048670705
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