Individual provider Active NPI

Cassandra L Marchant, DC

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1063916229
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
010112 Issued in GA
Practice address
3221 S Cherokee LN Ste 1830
Woodstock, GA 30188
Phone
(770) 376-0632
NPI assigned
Mar 22, 2018
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3601 MA
Chiropractor 111N00000X 010112 GA Primary

Addresses

Primary practice location

3221 S Cherokee LN Ste 1830
Woodstock, GA 30188

Mailing address

1010 Hillsborough Chase NW
Kennesaw, GA 30144-1155
Phone (812) 618-7351

Other practice location 1

3221 S Cherokee Ln Ste 1830
Woodstock, GA 30188
Phone (770) 376-0632

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
010112GAMDChiropractor
3601MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health Care Centers of Atlanta, LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1063916229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 HILLSBOROUGH CHASE NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441155",
            "telephone_number": "812-618-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 S CHEROKEE LN STE 1830",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30188",
            "telephone_number": "770-376-0632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3221 S Cherokee Ln Ste 1830",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "30188",
            "country_code": "US",
            "telephone_number": "770-376-0632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHANT",
        "first_name": "CASSANDRA",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3601",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "010112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.