Individual provider Active NPI

Christopher Wade Sellers, M.D., M.P.H.

  • General Practice Physician
  • Rome, GA
National Provider Identifier
1427195759
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
025271 Issued in GA
Practice address
1309 Redmond Cir NW
Rome, GA 30165-1307
Phone
(706) 295-6704
Fax
(706) 802-5681
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 025271 GA Primary

Addresses

Primary practice location

1309 Redmond Cir NW
Rome, GA 30165-1307

Mailing address

1309 Redmond Cir NW
Rome, GA 30165-1307
Phone (706) 295-6704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141014000947 GA Order and Referring Only - General PracticePractitioner - General Practice 1153225131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025271GAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattooga County Board of Health PastSince Aug 1, 2001 Accepting new patients
Floyd County Health Department Past Accepting new patients
Whitfield County Board of Health PastSince May 1, 2014 Accepting new patients
Catoosa County Board of Heatlh PastSince Feb 1, 2009 Accepting new patients
Gordon County Board of Health PastSince Nov 21, 2003 Accepting new patients
Paulding County Board of Health PastSince Jan 6, 2004 Accepting new patients
Walker County Board of Health PastSince Nov 11, 2004 Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1427195759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 REDMOND CIR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651307",
            "telephone_number": "706-295-6704",
            "fax_number": "706-802-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 REDMOND CIR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651307",
            "telephone_number": "706-295-6704",
            "fax_number": "706-802-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "025271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.