Active NPI
Saeideh Parham, DC
- Chiropractor
- Marietta, GA
National Provider Identifier
1083790646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007724
- Practice address
- 4063 Cloister Dr
Marietta, GA 30062-8005 - Phone
- (678) 887-4207
- Fax
- (678) 205-5132
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007724 | GA | Primary |
Addresses
Primary practice location
4063 Cloister Dr
Marietta, GA 30062-8005
Mailing address
770 Old Roswell PL
Unit H-400
Roswell, GA 30076-1670
Phone (678) 887-4207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007724 | Other | GA | CHIROPRACTIC LISC # |
Other names 1
- Mrs. Saeideh Mortazavi Zanjani
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007724 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stay Fit Wellness Center LLC | Past | Accepting new patients | |
| Stayfit Wellness Center LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Health Maintenance Organization
- Roswell, GA
- NPI 1043516438
-
- Chiropractor
- Marietta, GA
- NPI 1790925485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1083790646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 OLD ROSWELL PL",
"address_2": "UNIT H-400",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761670",
"telephone_number": "678-887-4207",
"fax_number": "678-205-5132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4063 CLOISTER DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300628005",
"telephone_number": "678-887-4207",
"fax_number": "678-205-5132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARHAM",
"first_name": "SAEIDEH",
"name_prefix": "Mrs.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "007724",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LISC #",
"identifier": "007724",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SAEIDEH",
"last_name": "ZANJANI",
"middle_name": "MORTAZAVI",
"prefix": "MRS.",
"credential": "DC",
"code": "5",
"type": "Other Name"
}
]
}
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 Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.