Individual provider Active NPI

Lucy Gomez Rosenberg, D.C.

  • Chiropractor
  • Kennesaw, GA
National Provider Identifier
1447267786
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007742 Issued in GA
Practice address
3450 Acworth Due West Rd NW
Ste 330
Kennesaw, GA 30144-1001
Phone
(678) 574-5227
Fax
(678) 574-5223
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 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 CHIR007742 GA Primary

Addresses

Primary practice location

3450 Acworth Due West Rd NW
Ste 330
Kennesaw, GA 30144-1001

Mailing address

3450 Acworth Due West Rd NW
Ste 330
Kennesaw, GA 30144-1001
Phone (678) 574-5227

Other names 1

  • Dr. Lucy Gomez Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061013000266 GA Practitioner - Chiropractic 6002812039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3450 Acworth Due W NW Rd
Suite 330
Kennesaw, GA 30144-1002
Phone (678) 574-5227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR007742GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Big Idea Family Chiropractic Center Chiropractor CurrentSince Jul 14, 2006 Accepting new patients
Big Idea Chiropractic Center LLC Chiropractor PastSince Jul 14, 2006 Accepting new patients

Locations

3450 Acworth Due West Rd NW
#R
Kennesaw, GA 30144
Phone (678) 574-5227

3450 Acworth Due West Rd NW
Ste 330
Kennesaw, GA 30144
Phone (678) 574-5227

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1447267786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD NW",
            "address_2": "STE 330",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441001",
            "telephone_number": "678-574-5227",
            "fax_number": "678-574-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD NW",
            "address_2": "STE 330",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441001",
            "telephone_number": "678-574-5227",
            "fax_number": "678-574-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "LUCY",
        "middle_name": "GOMEZ",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCY",
            "last_name": "GOMEZ",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.