Active NPI
Sean C McIntyre, DR
- Chiropractor
- Marietta, GA
National Provider Identifier
1245302306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006153
- Practice address
- 1275 Powers Ferry Road
Suite 300
Marietta, GA 30067 - Phone
- (770) 952-9664
- Fax
- (770) 952-2962
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006153 | GA | Primary |
Addresses
Primary practice location
1275 Powers Ferry Road
Suite 300
Marietta, GA 30067
Mailing address
1275 Powers Ferry Road
Suite 300
Marietta, GA 30067
Phone (770) 952-9664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1275 Powers Ferry Rd SE
Suite 300
Marietta, GA 30067-9425
Phone (770) 952-9664
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006153 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McIntyre Family Chiropractic and Wellness Center | Chiropractor | Current | Accepting new patients |
Locations
1275 Powers Ferry Rd SE
Ste 300
Marietta, GA 30067
Phone (770) 952-9664
Organizations & group practices 1
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.
-
- Chiropractor
- Marietta, GA
- NPI 1033309299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245302306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 POWERS FERRY ROAD",
"address_2": "SUITE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30067",
"telephone_number": "770-952-9664",
"fax_number": "770-952-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 POWERS FERRY ROAD",
"address_2": "SUITE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30067",
"telephone_number": "770-952-9664",
"fax_number": "770-952-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "SEAN",
"middle_name": "C",
"credential": "DR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "006153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.