Individual provider Active NPI

Sarah Cook, D.C.

  • Chiropractor
  • Milledgeville, GA
National Provider Identifier
1467823609
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009389 Issued in GA
Practice address
130 Log Cabin Rd NE
Suite B
Milledgeville, GA 31061-0917
Phone
(478) 457-0003
Fax
(478) 457-0053
NPI assigned
Oct 14, 2015
Last updated
Feb 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009389 GA Primary

Addresses

Primary practice location

130 Log Cabin Rd NE
Suite B
Milledgeville, GA 31061-0917

Mailing address

130 Log Cabin Rd NE
Suite B
Milledgeville, GA 31061-0917
Phone (478) 457-0003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230106002434 OH Practitioner - Chiropractic 1052612066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8250 Beckett Park Dr
Suite C
West Chester, OH 45069-9314
Phone (513) 857-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Chiropractic, LLC Chiropractor CurrentSince Aug 6, 2022 Accepting new patients

Locations

8250 Beckett Park Dr
Ste C
West Chester, OH 45069
Phone (513) 857-5433

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": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1467823609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LOG CABIN RD NE",
            "address_2": "SUITE B",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310610917",
            "telephone_number": "478-457-0003",
            "fax_number": "478-457-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LOG CABIN RD NE",
            "address_2": "SUITE B",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310610917",
            "telephone_number": "478-457-0003",
            "fax_number": "478-457-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.