Individual provider Active NPI

Christopher D Scoma, DC, NMT

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1114950029
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO005591 Issued in GA
Practice address
3115 Piedmont Rd NE Ste A101
Atlanta, GA 30305-2526
Phone
(404) 812-0222
NPI assigned
Jul 7, 2006
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO005591 GA Primary

Addresses

Primary practice location

3115 Piedmont Rd NE Ste A101
Atlanta, GA 30305-2526

Mailing address

235 Mount Ranier Way
Alpharetta, GA 30022-5438
Phone (404) 797-4115

Other names 1

  • Christopher Scoma DC NMT Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000748 GA Practitioner - Chiropractic 7810944865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO005591GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy Kelly, Inc. Chiropractor PastSince Mar 15, 2024 Accepting new patients
Gabriel a Kelly, LLC Chiropractor PastSince Apr 21, 2024 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, 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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1114950029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MOUNT RANIER WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225438",
            "telephone_number": "404-797-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 PIEDMONT RD NE STE A101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052526",
            "telephone_number": "404-812-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOMA",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC, NMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO005591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "SCOMA DC NMT",
            "credential": "DC, NMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.