Active NPI
Heidi Amanda Norman, D.C.
- Chiropractor
- Acworth, GA
National Provider Identifier
1306022801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3773
- Practice address
- 6460 Highway 92
Suite 100
Acworth, GA 30102-2998 - Phone
- (770) 926-2212
- Fax
- (770) 926-2242
- NPI assigned
- Jan 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 3773 | SC | Primary |
Addresses
Primary practice location
6460 Highway 92
Suite 100
Acworth, GA 30102-2998
Mailing address
1203 F Old Trolley Rd
Suite B
Summerville, SC 29485-5296
Phone (843) 486-0999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3773 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1306022801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 F OLD TROLLEY RD",
"address_2": "SUITE B",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294855296",
"telephone_number": "843-486-0999",
"fax_number": "843-486-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6460 HIGHWAY 92",
"address_2": "SUITE 100",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301022998",
"telephone_number": "770-926-2212",
"fax_number": "770-926-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "HEIDI",
"middle_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.