Organization Active NPI

Gorman Chiropractic PC

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1003163254
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007698 Issued in GA
Legal business name
GORMAN CHIROPRACTIC PC
Practice address
593 Atlanta St
Roswell, GA 30075-4454
Phone
(770) 993-8888
Fax
(770) 993-7800
NPI assigned
Aug 7, 2012
Last updated
Aug 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sharon Gorman, DCNPI 1437212388
Title
Owner
Phone
(770) 993-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR007698 GA Primary

Addresses

Primary practice location

593 Atlanta St
Roswell, GA 30075-4454

Mailing address

593 Atlanta St
Roswell, GA 30075-4454
Phone (770) 993-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130314000236 GA Part B Supplier - Clinic/Group Practice 5597900811 Receives reassigned benefits from 1 practitioner
Practice locations: Roswell, GA

National Provider Directory

National Provider Directory

Locations

17 Rock St SE
Marietta, GA 30060
Phone (770) 993-9999

377 S Atlanta St
Roswell, GA 30075
Phone (770) 993-8888

48 King St
Ste E
Roswell, GA 30075
Phone (770) 993-8888

593 Atlanta St
Roswell, GA 30075
Phone (770) 993-8888

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1003163254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 ATLANTA ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754454",
            "telephone_number": "770-993-8888",
            "fax_number": "770-993-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 ATLANTA ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754454",
            "telephone_number": "770-993-8888",
            "fax_number": "770-993-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORMAN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-993-8888",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.