Individual provider Active NPI

Jamie J. Foster, D.C.

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1457715203
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009415 Issued in GA
Practice address
593 Atlanta St
Roswell, GA 30075-4454
Phone
(770) 993-8888
Fax
(770) 993-7800
NPI assigned
Apr 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009415 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119000881 GA Practitioner - Chiropractic 1254763949 Reassigns benefits to 1 organization

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)

3625 Dallas Hwy SW
Suite 840
Marietta, GA 30064-5924
Phone (678) 571-1203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009415GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Percent Chiropractic Foster LLC Chiropractor CurrentSince Oct 7, 2019 Accepting new patients
Gorman Chiropractic Life Center Chiropractor Past Accepting new patients
Gorman Chiropractic PC Chiropractor Past Accepting new patients

Locations

3625 Dallas Hwy SW
Ste 850
Marietta, GA 30064
Phone (510) 717-0225

3625 Dallas Hwy SW
Ste 840
Marietta, GA 30064
Phone (678) 571-1203

Organizations & group practices 3

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1457715203",
    "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": "FOSTER",
        "first_name": "JAMIE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009415",
            "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 Apr 7, 2016; 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.