MEDICARE: 1VIZION GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor
2	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician

General Provider Information

NPI Number	:	1740113463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1VIZION GROUP

Provider Business Mailing Address
First Line	:	3699 LENOX RD NE APT 456
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-3798
Country	:	US
Telephone Number	:	786-687-2420
Fax Number	:

Provider Business Practice Location Address
First Line	:	3699 LENOX RD NE APT 456
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-3798
Country	:	US
Telephone Number	:	786-687-2420
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JEFFREY BRAZZLE
Credential	:
Telephone Number	:	786-687-2420

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “1VIZION GROUP ” Practice Location

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