Active NPI
Neda Nore, DC
- Chiropractor
- Lilburn, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009686
- Practice address
- 651 Indian Trail Lilburn Rd NW
Lilburn, GA 30047-6838 - Phone
- (770) 925-0088
- NPI assigned
- Oct 4, 2016
- Sex
- Female
- 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 | CHIR009686 | GA | Primary |
Addresses
Primary practice location
651 Indian Trail Lilburn Rd NW
Lilburn, GA 30047-6838
Mailing address
651 Indian Trail Lilburn Rd NW
Lilburn, GA 30047-6838
Phone (517) 402-9662
Other practice location 1
4910 Lavista Rd
Tucker, GA 30084-4403
Phone (770) 491-3639
Other practice location 2
1867 Independence Sq Ste 100
Dunwoody, GA 30338-5152
Phone (404) 789-0352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CHIR009686 | Other | GA | STATE LICENSE |
Other names 1
- Neda Nouraei-Hesari
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4910 Lavista Rd
Tucker, GA 30084-4403
Phone (770) 491-3639
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009686 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Chiropractic Clinic, LLC | Chiropractor | Current | Accepting new patients |
| Progressive Care of Gwinnett LLC | Chiropractor | Current | Accepting new patients |
Locations
651 Indian Trl Lilburn Rd NW
Lilburn, GA 30047
Phone (517) 402-9662
670 Indian Trl Lilburn Rd NW
Ste D
Lilburn, GA 30047
Phone (770) 925-0088
651 Indian Trl Lilburn Rd NW
#R
Lilburn, GA 30047
4910 Lavista Rd
Tucker, GA 30084
Phone (770) 491-3639
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 and National Provider Directory roles.
-
dba Progressive Healthcare of Gwinnett
- Chiropractor
- Lilburn, GA
- NPI 1245792233
-
- Chiropractor
- Peachtree Corners, GA
- NPI 1518729235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720828800000",
"number": "1265982144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 INDIAN TRAIL LILBURN RD NW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300476838",
"telephone_number": "517-402-9662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 INDIAN TRAIL LILBURN RD NW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300476838",
"telephone_number": "770-925-0088"
}
],
"practiceLocations": [
{
"address_1": "4910 Lavista Rd",
"address_purpose": "LOCATION",
"city": "Tucker",
"state": "GA",
"postal_code": "300844403",
"country_code": "US",
"telephone_number": "770-491-3639",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1867 Independence Sq Ste 100",
"address_purpose": "LOCATION",
"city": "Dunwoody",
"state": "GA",
"postal_code": "303385152",
"country_code": "US",
"telephone_number": "404-789-0352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORE",
"first_name": "NEDA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-04",
"last_updated": "2024-07-13",
"certification_date": "2024-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "CHIR009686",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NEDA",
"last_name": "NOURAEI-HESARI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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.