Individual provider Active NPI

Katrina Louise Sokolowski, D.C.

  • Chiropractor
  • Albany, GA
National Provider Identifier
1174675755
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007302 Issued in GA
Practice address
1713 Dawson Rd
Ste a
Albany, GA 31707-3383
Phone
(229) 594-1546
Fax
(229) 496-9369
NPI assigned
Jan 17, 2007
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007302 GA Primary

Addresses

Primary practice location

1713 Dawson Rd
Ste a
Albany, GA 31707-3383

Mailing address

1713 Dawson Rd
Ste a
Albany, GA 31707-3383
Phone (229) 594-1546

Other identifiers 1

IdentifierTypeStateIssuer
52070262OtherGABLUE CROSS BLUE SHEILD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040106000009 GA Practitioner - Chiropractic 5890694210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1713 Dawson Rd
Suite a
Albany, GA 31707-3383
Phone (229) 594-1546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR007302GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Family Chiropractic, LLC Chiropractor CurrentSince Jan 3, 2006 Accepting new patients
Albany Therapeutic Massage Clinic Past Accepting new patients

Locations

1713 Dawson Rd
Ste A
Albany, GA 31707
Phone (229) 594-1546

2709 Gillionville Rd
Ste 2
Albany, GA 31721
Phone (229) 594-1546

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1174675755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 DAWSON RD",
            "address_2": "STE A",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073383",
            "telephone_number": "229-594-1546",
            "fax_number": "229-496-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 DAWSON RD",
            "address_2": "STE A",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073383",
            "telephone_number": "229-594-1546",
            "fax_number": "229-496-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLOWSKI",
        "first_name": "KATRINA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "52070262",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.