Active NPI
Thomas James Scrimo, DC
- Chiropractor
- Roswell, GA
National Provider Identifier
1427766724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR010914
- Practice address
- 859 Mimosa Blvd
Roswell, GA 30075-4436 - Phone
- (678) 414-8958
- NPI assigned
- Nov 7, 2022
- Sex
- Male
- Sole proprietor
- No
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 | CHIR010914 | GA | Primary |
Addresses
Primary practice location
859 Mimosa Blvd
Roswell, GA 30075-4436
Mailing address
346 Weatherstone PL
Woodstock, GA 30188-4473
Phone (678) 414-8958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
859 Mimosa Blvd
Roswell, GA 30075-4436
Phone (678) 414-8958
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR010914 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapy LLC | Current | Accepting new patients | |
| Semper Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Life Clinic of Ga PC | Chiropractor | Current | Accepting new patients |
Locations
855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336
14200 Highway 92
Woodstock, GA 30188
Phone (677) 819-7658
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 and National Provider Directory roles.
-
- Chiropractor
- Woodstock, GA
- NPI 1922752807
-
- Physical Therapist
- Atlanta, GA
- NPI 1326247248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1427766724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 WEATHERSTONE PL",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301884473",
"telephone_number": "678-414-8958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 MIMOSA BLVD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300754436",
"telephone_number": "678-414-8958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRIMO",
"first_name": "THOMAS",
"middle_name": "JAMES",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-07",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR010914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.