Individual provider Active NPI

Wisam Rajab Abumrad, DC

  • Chiropractor
  • Rome, GA
National Provider Identifier
1205740768
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR011336 Issued in GA
Practice address
4 Professional CT SW
Rome, GA 30165-2832
Phone
(706) 388-3888
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR011336 GA Primary

Addresses

Primary practice location

4 Professional CT SW
Rome, GA 30165-2832

Mailing address

880 W Peachtree St NW Unit 1718
Atlanta, GA 30309-2546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1205740768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W PEACHTREE ST NW UNIT 1718",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PROFESSIONAL CT SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652832",
            "telephone_number": "706-388-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUMRAD",
        "first_name": "WISAM",
        "middle_name": "RAJAB",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.