Organization Active NPI

100 Percent Chiropractic Foster LLC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1295384584
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
100 PERCENT CHIROPRACTIC FOSTER LLC
Practice address
3625 Dallas Hwy
Suite 850
Marietta, GA 30064-3121
Phone
(678) 571-1203
NPI assigned
Sep 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Dr. Jamie Foster Foster, DC
Title
Chiropractor
Phone
(678) 571-1203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3625 Dallas Hwy
Suite 850
Marietta, GA 30064-3121

Mailing address

3625 Dallas Hwy SW Ste 850
Marietta, GA 30064-5925
Phone (678) 571-1203

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL ChiroHD Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191119000777 GA Part B Supplier - Clinic/Group Practice 0345672036 Receives reassigned benefits from 2 practitioners
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Locations

3625 Dallas Hwy SW
Ste 840
Marietta, GA 30064
Phone (678) 571-1203

3625 Dallas Hwy SW
Ste 850
Marietta, GA 30064
Phone (510) 717-0225

Practitioners & affiliated clinicians

Practitioners 6

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": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1295384584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 DALLAS HWY SW STE 850",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645925",
            "telephone_number": "678-571-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 DALLAS HWY",
            "address_2": "SUITE 850",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643121",
            "telephone_number": "678-571-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 PERCENT CHIROPRACTIC FOSTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "FOSTER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "678-571-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ChiroHD",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3625 Dallas Hwy",
            "address_2": "Suite 850",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300643121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 19, 2019; 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.