Individual provider Active NPI

Valerie K Roman-Perez

  • Chiropractor
  • Newnan, GA
National Provider Identifier
1124419536
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009424 Issued in GA
Practice address
1201 Lower Fayetteville Rd Ste E
Newnan, GA 30265-6509
Phone
(770) 400-8707
NPI assigned
Feb 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009424 GA Primary

Addresses

Primary practice location

1201 Lower Fayetteville Rd Ste E
Newnan, GA 30265-6509

Mailing address

PO Box 72438
Newnan, GA 30271-2438
Phone (770) 400-8707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231108000601 GA Practitioner - Chiropractic 0446607717 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009424GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Coweta Chiropractic LLC Chiropractor CurrentSince Oct 20, 2023 Accepting new patients

Locations

1201 Lower Fayetteville Rd
Ste E
Newnan, GA 30265
Phone (770) 400-8707

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": "1423353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1124419536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72438",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302712438",
            "telephone_number": "770-400-8707",
            "fax_number": "770-683-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LOWER FAYETTEVILLE RD STE E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656509",
            "telephone_number": "770-400-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN-PEREZ",
        "first_name": "VALERIE",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.