Individual provider Active NPI

Darren Michael Surma, D.C.

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1366457103
Registry record updated Aug 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007250 Issued in GA
Practice address
1000 Woodstock Pkwy
Suite #160
Woodstock, GA 30188-4856
Phone
(678) 388-7788
Fax
(678) 880-6617
NPI assigned
Jul 30, 2006
Last updated
Aug 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007250 GA Primary

Addresses

Primary practice location

1000 Woodstock Pkwy
Suite #160
Woodstock, GA 30188-4856

Mailing address

511 Waterfall Dr
Canton, GA 30114-8857
Phone (770) 853-1943

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020000201 GA Practitioner - Chiropractic 1355302787 Reassigns benefits to 1 organization
Practice locations: Canton, GA; Woodstock, GA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Woodstock Pkwy
Suite 160
Woodstock, GA 30188-4856
Phone (678) 388-7788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR007250GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Chiropractic and Massage, PC Chiropractor CurrentSince Mar 1, 2023 Accepting new patients
Savannah Hills Chiropratic Chiropractor Past Accepting new patients
Northside Spinal Center Inc Chiropractor Past Accepting new patients
Savannah Hills Family Chiropractic PC Chiropractor Past Accepting new patients

Locations

120 Hickory Rd
Holly Springs, GA 30115
Phone (670) 880-6616

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440288000000",
    "number": "1366457103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WATERFALL DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148857",
            "telephone_number": "770-853-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WOODSTOCK PKWY",
            "address_2": "SUITE #160",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884856",
            "telephone_number": "678-388-7788",
            "fax_number": "678-880-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURMA",
        "first_name": "DARREN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.