DR. JACK JOSEPH ANTHONIJS (D.C.) – Chiropractor, NPI 1114970167

DR. JACK JOSEPH ANTHONIJS (D.C.) is a healthcare provider. based in Alpharetta, Georgia. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. CHIRO07795 (GA). The NPI Number for DR. JACK JOSEPH ANTHONIJS (D.C.) is 1114970167

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK JOSEPH ANTHONIJS (D.C.)
NPI
1114970167
Phone
(770) 772-3500
Address
2520 NORTHWINDS PKWY
Enumeration Date
19 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
7707723500
Graduation Year
2004 (22 years ago)
PAC ID
7416925318
Professional Enrollment ID
I20060801000155
Address ID
GA300094822AL11525RDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,115 CHIROPRACTIC in GA

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Provider Addresses for DR. JACK JOSEPH ANTHONIJS (D.C.)

  • Two NorthWinds Center, 2520, Northwinds Parkway, Alpharetta, Fulton County, Georgia, 30009, United States

    SUITE 150

    ALPHARETTA, GA 300042216

    Phone: (770) 772-3500

    Fax: (770) 772-3512

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060801000155IChiropracticGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 regions50151$0
View full utilization report →

Insurance plans in this area (ZIP 30004)

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Reviews

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Frequently asked questions

Can I cross-check DR. JACK JOSEPH ANTHONIJS (D.C.) using NPI 1114970167?
NPI 1114970167 belongs to DR. JACK JOSEPH ANTHONIJS (D.C.); compare other details if you need extra assurance.
Would DR. JACK JOSEPH ANTHONIJS (D.C.) appear as active to a payer?
You can treat DR. JACK JOSEPH ANTHONIJS (D.C.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. JACK JOSEPH ANTHONIJS (D.C.)?
DR. JACK JOSEPH ANTHONIJS (D.C.)'s record emphasizes Chiropractor. Clinical services aligned with this taxonomy classification.
Is DR. JACK JOSEPH ANTHONIJS (D.C.) associated with Alpharetta?
Public fields place DR. JACK JOSEPH ANTHONIJS (D.C.) around Alpharetta, Georgia. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. JACK JOSEPH ANTHONIJS (D.C.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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