Active NPI
Eli Mark Goldsmith, D.C.
- Sports Physician Chiropractor
- Cumming, GA
National Provider Identifier
1578622114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 005900
- Practice address
- 2607 Freedom Pkwy
Cumming, GA 30041-9176 - Phone
- (678) 513-8848
- Fax
- (678) 513-6614
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 005900 | GA | Primary |
Addresses
Primary practice location
2607 Freedom Pkwy
Cumming, GA 30041-9176
Mailing address
2607 Freedom Pkwy
Cumming, GA 30041-9176
Phone (678) 513-8848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1578622114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 FREEDOM PKWY",
"city": "CUMMING",
"state": "GA",
"postal_code": "300419176",
"telephone_number": "678-513-8848",
"fax_number": "678-513-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 FREEDOM PKWY",
"city": "CUMMING",
"state": "GA",
"postal_code": "300419176",
"telephone_number": "678-513-8848",
"fax_number": "678-513-6614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSMITH",
"first_name": "ELI",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "GA",
"license": "005900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.