Unknown Individual – Chiropractor, NPI 1104826296

Unknown Individual is a healthcare provider. based in Jonesboro, Georgia. specializing in Chiropractor. They hold a License No. 001908 (GA). The NPI Number for Unknown Individual is 1104826296

Main info

Organization
Inactive
44 Years Of Experience
Name
Unknown Individual
NPI
1104826296
Phone
(770) 477-7730
Address
1299 BATTLE CREEK RD
Deactivation Date
29 March 2023

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
8123105228
Professional Enrollment ID
I20080414000055
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1299 BATTLE CREEK RD

    STE 100

    JONESBORO, GA 302367919

    Phone: (770) 477-7730

    Fax: (770) 477-7738

    Type: Mailing

  • 1299 BATTLECREEK RD

    STE 100

    JONESBORO, GA 302367981

    Phone: (770) 477-7730

    Fax: (770) 477-7738

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions2923$0
98940Chiropractic manipulative treatment, 1-2 spinal regions2621$0
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Insurance plans in this area (ZIP 30236)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1104826296 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Chiropractor. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Jonesboro, Georgia. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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