Nicholas J. Sudano, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR004781 Issued in GA

Practice address

4401 Shallowford Rd Ste 142
Roswell, GA 30075-3175

Phone

(770) 552-7009

Fax

(770) 587-9877

NPI assigned

Aug 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• NJS Enterprises, Inc.

  dba Total Health Solutions

  • Chiropractor
  • Roswell, GA
  • NPI 1154550432
  Authorized official Same address or phone

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265546782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 SHALLOWFORD RD STE 142",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753175",
            "telephone_number": "770-552-7009",
            "fax_number": "770-587-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 SHALLOWFORD RD STE 142",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753175",
            "telephone_number": "770-552-7009",
            "fax_number": "770-587-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDANO",
        "first_name": "NICHOLAS",
        "middle_name": "J.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR004781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN #",
            "identifier": "0027833",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stronghold Physical Therapy LLC
• Ellen Strugatch, LPC
• Olivia Stubblefield
• Julia Stubbs
• Jennifer L Stuckert, MFT, LPC
• Benjamin Suh, PT, DPT
• SE Young Suh, M.D.
• Suitable Nutrition, LLC
• Ted Sukhdeo, PHARMD
• Jill McGee Sullivan, P.T.

• Chiropractor in Roswell, GA
• Providers in Roswell, GA by specialty
• Chiropractor in Georgia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.