Samuel Clavell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008695 Issued in GA

Practice address

2615 E West Connector
Ste.108
Austell, GA 30106-6848

Phone

(770) 943-1425

Fax

(770) 943-1452

NPI assigned

Aug 20, 2010

Last updated

Dec 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chiropractic Game Changers, LLC

  dba LifeGiving Chiropractic

  • Chiropractor
  • Austell, GA
  • NPI 1538686258
  Medicare reassignment NPD Authorized official
• Lifegiving Chiropractic Suwanee LLC

  • Chiropractor
  • Suwanee, GA
  • NPI 1497466957
  NPD

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1528374162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 GLEN CEDARS DR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267607",
            "telephone_number": "404-791-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E WEST CONNECTOR",
            "address_2": "STE.108",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301066848",
            "telephone_number": "770-943-1425",
            "fax_number": "770-943-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVELL",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W Clabby, M.D.
• Grace Clark, AGPCNP-B
• Michael A Clark, PA
• Zaccardo K Clark, NP
• Celeste Arianna Clarke, LMT
• Clayton Center
• Chez Clemmons, LPC013537
• Quwanna Clemons
• Melissa T Clinkscales, PAAA
• Thomas Barry Clower, D.M.D,P.C

• Chiropractor in Austell, GA
• Providers in Austell, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.