Individual provider Active NPI

Patricia A Seebach, DC

  • Chiropractor
  • Sugar Hill, GA
National Provider Identifier
1083783666
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005180 Issued in GA
Practice address
4530 Nelson Brogdon Blvd
Suite B
Sugar Hill, GA 30518-3478
Phone
(770) 271-8949
Fax
(770) 271-8199
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005180 GA Primary

Addresses

Primary practice location

4530 Nelson Brogdon Blvd
Suite B
Sugar Hill, GA 30518-3478

Mailing address

4530 Nelson Brogdon Blvd
Suite B
Sugar Hill, GA 30518-3478
Phone (770) 271-8949

Other identifiers 1

IdentifierTypeStateIssuer
005180OtherGALICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000133 GA Practitioner - Chiropractic 7810184173 Practice locations: Sugar Hill, GA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4530 Nelson Brogden Blvd
Suite B
Sugar Hill, GA 30518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083783666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 NELSON BROGDON BLVD",
            "address_2": "SUITE B",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305183478",
            "telephone_number": "770-271-8949",
            "fax_number": "770-271-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 NELSON BROGDON BLVD",
            "address_2": "SUITE B",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305183478",
            "telephone_number": "770-271-8949",
            "fax_number": "770-271-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEBACH",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "005180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "005180",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.