Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009242 Issued in GA

Legal business name

FEIDY CHIROPRACTIC CLINIC INC, DBA CARDWELL CHIROPRACTIC CLINIC

Practice address

1230 Johnson Ferry PL Ste G30
Marietta, GA 30068

Phone

(770) 977-9200

Fax

(770) 977-5531

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Sinan N Feidy, BS, MS, DCNPI 1841703188

Title

Chiropractor/Owner

Phone

(404) 805-6366

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cardwell Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sinan N Feidy

  • Chiropractor
  • Marietta, GA
  • NPI 1841703188
  Medicare reassignment NPD Authorized official
• Elbert Hugh Cardwell, DC

  • Chiropractor
  • Marietta, GA
  • NPI 1821192121
  NPD

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1265912604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL STE G30",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682058",
            "telephone_number": "770-977-9200",
            "fax_number": "770-977-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL STE G30",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30068",
            "telephone_number": "770-977-9200",
            "fax_number": "770-977-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEIDY CHIROPRACTIC CLINIC INC, DBA CARDWELL CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "FEIDY",
        "authorized_official_first_name": "SINAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "404-805-6366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BS, MS, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841703188",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardwell Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tacresha Favors, RBT
• Isha Faye, BS, RBT
• Donna W Fearing, MD
• Kiyanie Chaquez Fedrick
• Eliahu S Feen, M.D.
• Sinan N Feidy
• Rachel Feit, PSY.D
• Aaron David Feldman, PHD
• Steven Feliciano, DC
• Carole Felser

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.