Individual provider Active NPI

Sharon R Gorman, DC

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1437212388
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007698 Issued in GA
Practice address
593 Atlanta St
Roswell, GA 30075-4454
Phone
(770) 993-8888
Fax
(770) 993-7800
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002838L PA
Chiropractor 111N00000X CHIR007698 GA Primary

Addresses

Primary practice location

593 Atlanta St
Roswell, GA 30075-4454

Mailing address

593 Atlanta St
Roswell, GA 30075-4454
Phone (770) 993-8888

Other identifiers 1

IdentifierTypeStateIssuer
076876OtherGAPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111121000529 GA Practitioner - Chiropractic 1850280074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

48 King St E
Roswell, GA 30075-4466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR007698GAMDChiropractor
DC002838LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gorman Chiropractic PC Chiropractor CurrentSince Dec 14, 2012 Accepting new patients

Locations

48 King St
Ste E
Roswell, GA 30075
Phone (770) 993-8888

593 Atlanta St
Roswell, GA 30075
Phone (770) 993-8888

Organizations & group practices 2

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1437212388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 ATLANTA ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754454",
            "telephone_number": "770-993-8888",
            "fax_number": "770-993-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 ATLANTA ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754454",
            "telephone_number": "770-993-8888",
            "fax_number": "770-993-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "SHARON",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002838L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "076876",
            "state": "GA"
        }
    ],
    "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 2, 2011; 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.