Chimed Fic Sa LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CHIMED FIC SA LLC

Practice address

541 Forest Pkwy Ste 14
Forest Park, GA 30297-6110

Phone

(877) 495-7773

NPI assigned

Apr 7, 2021

Last updated

Apr 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen CooperNPI 1699719732

Title

Manager

Phone

(877) 495-7773

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen B Cooper, D.C.

  • Chiropractor
  • Phenix City, AL
  • NPI 1699719732
  Authorized official Same address or phone

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1447839196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1601",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368681601",
            "telephone_number": "334-298-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 FOREST PKWY STE 14",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976110",
            "telephone_number": "877-495-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIMED FIC SA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "877-495-7773",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro de Salud Familiar II , LLC (Centro De Salud Familiar,LLC)
• Centro Prenatal de Georgia
• Centro Prenatal de Georgia
• John Michael Chafin I
• Curtis L Champion, MD
• Chimed Rehab South Atlanta, LLC
• Chimedical Diagnostics, LLC
• Nyaradzo Chitambira, DC
• Christians Medical Equipment & Supplies Inc.
• Christians Pharmacy & Health Services Inc (Christians Health Services)

• Multi-Specialty Clinic/Center in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.