Sherra Bryant Conde, D.C.
Individual provider Active NPI Chiropractor · Peachtree City, GA
NPI 1598097172 · NPPES record last updated Oct 22, 2012
Key facts
- NPI
- 1598097172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038011621 (IL)
- Practice address
- 40 Eastbrook BND
Peachtree City, GA 30269-1567 - Phone
- (305) 834-9839
- NPI assigned
- Feb 5, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
140 Carnegie PL
Suite 106
Fayetteville, GA 30214-7911
Phone (404) 455-3654
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121008000320 | GA | Practitioner - Chiropractic | 7214069087 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038011621 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinealign PC | Chiropractor | Current |
Accepting new patients |
| Mitchell Family Chiropractic PC | Chiropractor | Past | Accepting new patients |
| Fuller Life Solutions | Chiropractor | Past | Accepting new patients |
Locations
140 Carnegie Pl
Ste 106
Fayetteville, GA 30214
Phone (404) 455-3654
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011621 | IL | Yes |
Addresses
Primary practice location
40 Eastbrook BND
Peachtree City, GA 30269-1567
Mailing address
PO Box 719
Manchester, GA 31816-0719
Phone (706) 846-2787
Other providers in Peachtree City, GA
- Melina Collins
- Communicare Therapy Services
- Complete Chiropractic Center LLC
- Complete Physical Therapy Centers of Georgia, LLC
- Diana Marie Concepcion
- Natashia Rebecca Conley
- Ebony B Conner
- Connie Jones, LPC, LLC
- Cook Investments LLC
- Sandra Sue Copeland
All providers in Peachtree City, GA · Chiropractor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.