Marie Nicole Soracco, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR002563 Issued in GA

Practice address

1580 Tree Lane
Snellville, GA 30078

Phone

(770) 979-2225

Fax

(770) 979-8348

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eastside Spine & Pain Center

  • Rehabilitation Chiropractor
  • Snellville, GA
  • NPI 1649509605
  NPD (past) Authorized official
• Athens Gynecology PC

  • Gynecology Physician
  • Athens, GA
  • NPI 1215132527
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306912027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "address_2": "1580 TREE LANE",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "30078",
            "telephone_number": "770-979-2225",
            "fax_number": "770-979-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 TREE LANE",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "30078",
            "telephone_number": "770-979-2225",
            "fax_number": "770-979-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORACCO",
        "first_name": "MARIE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanet Soca Castillo, RBT
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• Jeffrey Edward Sootin, M.D.
• Sos Counseling and Consultation Group, LLC
• Sound Mind Counseling Services Inc
• South Gwinnett Radiology PC
• Southeast Urgent Care LLC
• Southeastern Pain Consultants

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.