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DR. DOMINIQUE DESSAUSURE CHIROPRACTOR
NPI 1154960763
Chiropractor in Conyers, GA

Active since December 30, 2019
2375 WALL ST SE, CONYERS, GA 30013(404) 947-8262 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2020, Feb 10, 2020, Dec 30, 2019 (3 updates tracked since 2019).

About Dr. Dominique Dessausure Chiropractor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOMINIQUE DESSAUSURE CHIROPRACTOR (NPI 1154960763) is an individual chiropractor in Conyers, Georgia, licensed in Georgia (CHIR010315) and active in the NPI registry since December 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154960763
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. DOMINIQUE DESSAUSURECredential: CHIROPRACTOR
Location Address2375 WALL ST SEConyers, GA 30013-6702
Mailing Address2375 Wall St SeConyers, GA 30013-6702
Phone(404) 947-8262
Sole ProprietorYes
Enumeration DateDecember 30, 2019
Last NPPES UpdateMay 6, 20203 updates tracked since enumeration
NPPES CertifiedMay 6, 2020
✔ NPI 1154960763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR010315
Definition
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.
2375 WALL ST SE, Conyers, GA 30013
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Secondary Practice Locations 2

Location 13858 Cameron Trl SEConyers, GA 30013-2287 · Phone (404) 408-7262
Location 22375 Wall St SE Ste 135Conyers, GA 30013-2290 · Phone (404) 408-7262

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARITY DANAE STANTON
Counselor (Mental Health)
2375 WALL ST SE
CONYERS, GA 30013
Rockdale County (470) 829-6301
TRI MED BRACING & FOOT CENTERS, LLC
Durable Medical Equipment & Medical Supplies
2375 WALL ST SE, 240 #52
CONYERS, GA 30013
Rockdale County (877) 933-4848
SYLVIA DENSON PHD
Counselor (Mental Health)
2375 WALL ST SE
CONYERS, GA 30013
Rockdale County (770) 679-0586
AICA ORTHOPEDICS, P.C.
Orthopaedic Surgery (Orthopaedic Trauma)
2375 WALL ST SE, UNIT 135
CONYERS, GA 30013
Rockdale County (678) 210-2225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Dessausure's NPI number?

The NPI number for Dominique Dessausure is 1154960763. It was assigned to this individual provider in the NPPES registry on December 30, 2019.

Where is Dominique Dessausure located?

Dominique Dessausure practices at 2375 Wall St SE, Conyers, GA 30013. The listed phone number is (404) 947-8262.

What is Dominique Dessausure's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Dominique Dessausure accept?

Health plans from Providence Health Plan list Dominique Dessausure as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dominique Dessausure was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.