Spinealign PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPINEALIGN PC

Practice address

140 Carnegie PL Ste 106
Fayetteville, GA 30214-7911

Phone

(678) 489-2974

NPI assigned

Aug 14, 2023

Last updated

Aug 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sherra Maelette Bryant, DC

Title

Owner

Phone

(404) 455-3654

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sherra Bryant Conde, D.C.

  • Chiropractor
  • Peachtree City, GA
  • NPI 1598097172
  Medicare reassignment NPD

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1346023512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CARNEGIE PL STE 106",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147911",
            "telephone_number": "404-455-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CARNEGIE PL STE 106",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147911",
            "telephone_number": "678-489-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINEALIGN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "SHERRA",
        "authorized_official_middle_name": "MAELETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-455-3654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sparkling Smiles Fayetteville LLC
• Speak With Ease, LLC
• Dana Scott Spears, PHD
• Speech Assessment Center, Inc.
• Angela Christine Spencer, BCBA
• Antonia Spradley, RBT
• Squad Medical Supply LLC
• Nicole L Sroka, M.D.
• Amanda St Germain
• St. Andrew's E.M.S., Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.