Individual provider Active NPI

Tijana Sefic, D.C.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1619231891
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008933 Issued in GA
Practice address
2993 Sandy Plains Rd Ste 115
Marietta, GA 30066-4695
Phone
(706) 254-4579
NPI assigned
Jul 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008933 GA Primary

Addresses

Primary practice location

2993 Sandy Plains Rd Ste 115
Marietta, GA 30066-4695

Mailing address

2850 Delk Rd SE Apt 4G
Marietta, GA 30067-5355
Phone (706) 254-4579

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

State licenses

LicenseStateTypeSpecialty
CHIR008933GAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1619231891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 DELK RD SE APT 4G",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675355",
            "telephone_number": "706-254-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 SANDY PLAINS RD STE 115",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664695",
            "telephone_number": "706-254-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEFIC",
        "first_name": "TIJANA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.