Individual provider Active NPI

Jami Michele Gomarko, D.C.

  • Chiropractor
  • Smyrna, GA
National Provider Identifier
1194725556
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007183 Issued in GA
Practice address
3065 S Cobb Dr SE
Suite B
Smyrna, GA 30080-7809
Phone
(770) 432-1164
Fax
(770) 434-8262
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007183 GA Primary

Addresses

Primary practice location

3065 S Cobb Dr SE
Suite B
Smyrna, GA 30080-7809

Mailing address

1205 Winterset Pkwy SE
Marietta, GA 30067-6545
Phone (770) 977-5599

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407001213 GA Practitioner - Chiropractic 3173516796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Chris Brooks, P.C.Group PAC ID 2264425206, 2 clinicians

Practice addresses (Care Compare)

2821 S Cobb Dr SE
Smyrna, GA 30080-3242
Phone (770) 432-1164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR007183GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Brooks, P.C. Chiropractor CurrentSince Jan 9, 2004 Accepting new patients
Richard a Franks DC,PC Chiropractor Past Accepting new patients

Locations

2821 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 432-1164

3065 S Cobb Dr SE
Ste B
Smyrna, GA 30080
Phone (770) 423-1164

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1194725556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 WINTERSET PKWY SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676545",
            "telephone_number": "770-977-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 S COBB DR SE",
            "address_2": "SUITE B",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807809",
            "telephone_number": "770-432-1164",
            "fax_number": "770-434-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMARKO",
        "first_name": "JAMI",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.