Individual provider Active NPI

Harris Samuel Frank, L.AC.

  • Acupuncturist
  • Peachtree City, GA
National Provider Identifier
1053617480
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
314 Issued in GA
Practice address
4000 Shakerag HL Ste 300
Peachtree City, GA 30269-4047
Phone
(770) 756-1979
Fax
(855) 393-9876
NPI assigned
Feb 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13434 CA
Acupuncturist 171100000X 314 GA Primary

Addresses

Primary practice location

4000 Shakerag HL Ste 300
Peachtree City, GA 30269-4047

Mailing address

4000 Shakerag HL Ste 300
Peachtree City, GA 30269-4047
Phone (770) 756-1979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13434CAMDAcupuncturist
314GAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree City Acupuncture, Inc. Acupuncturist CurrentSince Oct 11, 2020 Accepting new patients
The Center of Integrative Chinese Medicine Acupuncturist Past Accepting new patients

Locations

4000 Shakerag Hl
Ste 300
Peachtree City, GA 30269
Phone (262) 327-0704

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1053617480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SHAKERAG HL STE 300",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694047",
            "telephone_number": "770-756-1979",
            "fax_number": "855-393-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SHAKERAG HL STE 300",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694047",
            "telephone_number": "770-756-1979",
            "fax_number": "855-393-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "HARRIS",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-02",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13434",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.