1. Home
  2. Directory
  3. Georgia
  4. Lawrenceville
  5. Chiropractor
  6. NPI Profile

MIRA CHIROPRACTIC CLINIC, LLC
NPI 1184056061
Chiropractor in Lawrenceville, GA

Active since August 02, 2013CLIA 11D2321361 · Waiver
1511 PARK GROVE DR, LAWRENCEVILLE, GA 30046(770) 713-9394 Get Directions Write a Review

NPPES record last updated: August 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mira Chiropractic Clinic, Llc NPPES

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

MIRA CHIROPRACTIC CLINIC, LLC (NPI 1184056061) is a healthcare organization registered as a chiropractor in Lawrenceville, Georgia and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Mira Abdurashid Ahmed, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1184056061
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMIRA CHIROPRACTIC CLINIC, LLC
Location Address1511 PARK GROVE DRLawrenceville, GA 30046-4398
Mailing Address575 Dekalb Industrial Way Ste 105Decatur, GA 30030-1756 · (770) 713-9394
Phone(770) 713-9394
Organization SubpartNo
Authorized OfficialMira Abdurashid AhmedChiropractor · (770) 713-9394
Enumeration DateAugust 2, 2013
✔ NPI 1184056061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR008996
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.
1511 PARK GROVE DR, Lawrenceville, GA 30046
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2321361

Mira Chiropractic Clinic · Decatur, GA
Active · expires Apr 2, 2027
CLIA Number11D2321361
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorMira A. Ahmed
Laboratory Phone(404) 500-4881
Laboratory LocationMira Chiropractic Clinic575 Dekalb Industrial Way, Suite 105, Decatur, GA 30030
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Mira Chiropractic Clinic, LLC's NPI number?

The NPI number for Mira Chiropractic Clinic, LLC is 1184056061. It was assigned to this organization in the NPPES registry on August 2, 2013.

Where is Mira Chiropractic Clinic, LLC located?

Mira Chiropractic Clinic, LLC is located at 1511 Park Grove Dr, Lawrenceville, GA 30046. The listed phone number is (770) 713-9394.

What is Mira Chiropractic Clinic, LLC's specialty?

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

Does Mira Chiropractic Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2321361) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mira Chiropractic Clinic, LLC was last updated on August 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.