Organization Active NPI

Sugarloaf Pain & Rehab

  • Chiropractor
  • Suwanee, GA
National Provider Identifier
1285015222
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007290 Issued in GA
Legal business name
SUGARLOAF PAIN & REHAB
Practice address
1325 Satellite Blvd NW Ste 601
Suwanee, GA 30024-4709
Phone
(770) 817-3399
Fax
(770) 817-2555
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Dr. Seong H Hwang, DC
Title
Owner
Phone
(770) 817-3399

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 007290 GA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 007272 GA

Addresses

Primary practice location

1325 Satellite Blvd NW Ste 601
Suwanee, GA 30024-4709

Mailing address

1325 Satellite Blvd NW Ste 601
Suwanee, GA 30024-4709
Phone (770) 817-3399

Other identifiers 2

IdentifierTypeStateIssuer
1194024653OtherGANPI DR 1194024653
1528346665OtherNPI DR 1528346665

National Provider Directory

National Provider Directory

Locations

1325 Satellite Blvd NW
Ste 601
Suwanee, GA 30024
Phone (770) 817-3399

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1285015222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW STE 601",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244709",
            "telephone_number": "770-817-3399",
            "fax_number": "770-817-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW STE 601",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244709",
            "telephone_number": "770-817-3399",
            "fax_number": "770-817-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARLOAF PAIN & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "SEONG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-817-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007290",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR 1194024653",
            "identifier": "1194024653",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR 1528346665",
            "identifier": "1528346665",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.