Individual provider Active NPI

Cynthia Seebacher, D.C.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1053782243
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009590 Issued in GA
Practice address
2820 Lassiter Rd # a
Suite a-150
Marietta, GA 30062-8332
Phone
(404) 838-8985
Fax
(404) 850-8645
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009590 GA Primary

Addresses

Primary practice location

2820 Lassiter Rd # a
Suite a-150
Marietta, GA 30062-8332

Mailing address

4401 Old Mabry Rd NE
Roswell, GA 30075-1939
Phone (404) 838-8985

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831000384 GA Practitioner - Chiropractic 2567758592 Practice locations: Marietta, GA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2820 Lassiter Rd
Suite A150
Marietta, GA 30062-8334
Phone (404) 838-8985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009590GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dry Family Wellness Center Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1053782243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 OLD MABRY RD NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751939",
            "telephone_number": "404-838-8985",
            "fax_number": "404-850-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 LASSITER RD # A",
            "address_2": "SUITE A-150",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628332",
            "telephone_number": "404-838-8985",
            "fax_number": "404-850-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEBACHER",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.