Individual provider Active NPI

Serge Sautre, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1134311681
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005370 Issued in GA
Practice address
3288 Chamblee Tucker Rd
Atlanta, GA 30341-4221
Phone
(770) 451-0799
Fax
(770) 451-0815
NPI assigned
Aug 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 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 CHIR005370 GA Primary

Addresses

Primary practice location

3288 Chamblee Tucker Rd
Atlanta, GA 30341-4221

Mailing address

3288 Chamblee Tucker Rd
Atlanta, GA 30341-4221
Phone (770) 451-0799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080609000126 GA Practitioner - Chiropractic 1254401870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4144 Clairmont Rd
Chamblee, GA 30341-3237
Phone (770) 451-0799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR005370GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Serge Sautre, DC, PC Chiropractor CurrentSince Jul 5, 2007 Accepting new patients

Locations

3288 Chamblee Tucker Rd
Atlanta, GA 30341
Phone (404) 719-3338

4144 Clairmont Rd
Chamblee, GA 30341
Phone (678) 205-1223

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": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1134311681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 CHAMBLEE TUCKER RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414221",
            "telephone_number": "770-451-0799",
            "fax_number": "770-451-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 CHAMBLEE TUCKER RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414221",
            "telephone_number": "770-451-0799",
            "fax_number": "770-451-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUTRE",
        "first_name": "SERGE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 17, 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.