Individual provider Active NPI

Alban Sims, DC

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1194451559
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010754 Issued in GA
Practice address
2990 Eagle Dr Ste 102
Woodstock, GA 30189-5575
Phone
(678) 919-7788
Fax
(866) 954-9499
NPI assigned
Jul 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 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 CHIR010754 GA Primary

Addresses

Primary practice location

2990 Eagle Dr Ste 102
Woodstock, GA 30189-5575

Mailing address

2990 Eagle Dr Ste 102
Woodstock, GA 30189-5575
Phone (678) 919-7788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115001650 GA Practitioner - Chiropractic 6608223417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2250 Marietta Blvd NW
Suite 303
Atlanta, GA 30318-2260
Phone (470) 355-7166

2990 Eagle Dr
Suite 102
Woodstock, GA 30189-5575
Phone (678) 919-7788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010754GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Percent Chiropractic Maassen LLC Chiropractor CurrentSince Nov 29, 2023 Accepting new patients
100 Percent Chiropractic Sberger LLC Chiropractor CurrentSince Apr 1, 2025 Accepting new patients
100 Chiro Paxia PLLC Chiropractor Current Accepting new patients
100 Chiro Staples Midtown PC Chiropractor CurrentSince Apr 1, 2025 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1194451559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 EAGLE DR STE 102",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895575",
            "telephone_number": "678-919-7788",
            "fax_number": "866-954-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 EAGLE DR STE 102",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895575",
            "telephone_number": "678-919-7788",
            "fax_number": "866-954-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "ALBAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.