Organization Active NPI

GHM Partners, LLC

Doing business as Crossroads Chiropractic

  • Chiropractor
  • Sharpsburg, GA
National Provider Identifier
1043862725
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GHM PARTNERS, LLC
Doing business as
Crossroads Chiropractic
Practice address
3339 Highway 34 E Ste C
Sharpsburg, GA 30277-3565
Phone
(770) 252-1848
NPI assigned
Jul 12, 2019
Last updated
Jul 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Authorized official

Name
Dr. Samir Hajariwala, DCNPI 1417132713
Title
President
Phone
(585) 410-0643

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

3339 Highway 34 E Ste C
Sharpsburg, GA 30277-3565

Mailing address

1626 Hickory Woods Way
Marietta, GA 30066-2995
Phone (585) 410-0643

Other names 1

  • Crossroads Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ChiroTouch

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190910000394 GA Part B Supplier - Clinic/Group Practice 4981933413 Receives reassigned benefits from 1 practitioner
Practice locations: Sharpsburg, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1043862725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 HICKORY WOODS WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662995",
            "telephone_number": "585-410-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3339 HIGHWAY 34 E STE C",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773565",
            "telephone_number": "770-252-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHM PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "HAJARIWALA",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-410-0643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ChiroTouch",
            "affiliation": "N",
            "address_1": "3339 Highway 34 E Ste C",
            "city": "Sharpsburg",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302773565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Crossroads Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sharpsburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.