Active NPI
Samantha March Clark, D.C.
- Chiropractor
- Atlanta, GA
National Provider Identifier
1447646609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9525
- Practice address
- 4490 Chamblee Dunwoody Rd Ste D
Atlanta, GA 30338-6259 - Phone
- (770) 457-1571
- Fax
- (770) 504-5442
- NPI assigned
- Apr 14, 2015
- Last updated
- Mar 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 9525 | GA | Primary |
Addresses
Primary practice location
4490 Chamblee Dunwoody Rd Ste D
Atlanta, GA 30338-6259
Mailing address
PO Box 944
Lawrenceville, GA 30046-0944
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
- Life Chiropractic College, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4490 Chamblee Dunwoody Rd
Suite D
Atlanta, GA 30338-6259
Phone (770) 457-1571
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9525 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LV Wellness LLC | Chiropractor | Current | Accepting new patients |
Locations
4490 Chamblee Dunwoody Rd
Ste D
Dunwoody, GA 30338
Phone (770) 457-1571
Organizations & group practices 1
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": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1447646609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 944",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300460944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4490 CHAMBLEE DUNWOODY RD STE D",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303386259",
"telephone_number": "770-457-1571",
"fax_number": "770-504-5442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "SAMANTHA",
"middle_name": "MARCH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-14",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "9525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.