Individual provider Active NPI

Samantha Rose Salerno

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1174208540
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR011013 Issued in GA
Practice address
920 Marietta Hwy Ste 300
Roswell, GA 30075-6751
Phone
(770) 518-0770
NPI assigned
Jun 21, 2023
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 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 CHIR011013 GA Primary

Addresses

Primary practice location

920 Marietta Hwy Ste 300
Roswell, GA 30075-6751

Mailing address

8000 Avonlea PL Apt 303
Woodstock, GA 30189-7134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250619000418 GA Practitioner - Chiropractic 3971014580 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR011013GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiro Staples Midtown PC Chiropractor CurrentSince May 9, 2025 Accepting new patients
100 Percent Chiropractic Maassen LLC Chiropractor CurrentSince May 9, 2025 Accepting new patients
100 Percent Chiropractic Sberger LLC Chiropractor CurrentSince May 9, 2025 Accepting new patients
100 Percent Chiropractic Atlanta Four Chiropractor PastSince Jun 25, 2023 Accepting new patients

Locations

2250 Marietta Blvd NW
Ste 303
Atlanta, GA 30318
Phone (301) 471-4312

2990 Eagle Dr
Ste 102
Woodstock, GA 30189
Phone (678) 919-7788

Organizations & group practices 4

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1174208540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 AVONLEA PL APT 303",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301897134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MARIETTA HWY STE 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756751",
            "telephone_number": "770-518-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALERNO",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.