Sandra M De Sousa, D.C.

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

CHIR007124 Issued in GA

Practice address

4327 Mundy Mill Rd
Suite a
Oakwood, GA 30566-2563

Phone

(770) 531-1621

Fax

(770) 531-1691

NPI assigned

Dec 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Align Chiropractic Clinic & Associates, P.C.

  • Health Service Clinic/Center
  • Oakwood, GA
  • NPI 1386862340
  NPD (past) Authorized official

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639239056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 MUNDY MILL RD",
            "address_2": "SUITE A",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662563",
            "telephone_number": "770-531-1621",
            "fax_number": "770-531-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 MUNDY MILL RD",
            "address_2": "SUITE A",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662563",
            "telephone_number": "770-531-1621",
            "fax_number": "770-531-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SOUSA",
        "first_name": "SANDRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "GA",
            "license": "CHIR007124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Medical, Inc.
• Johnny Cosenza, HADS001062
• Patricia Ann Cox
• Bridget Cubillas
• Kommerina Daling, M.D.
• Wilbur Allen Dellinger, D.C.
• Carol Demersseman
• Sateesh Ramkishan Devagupthapu, MD
• Michele Eilleen Dews
• Charyl Durbin, LPC

• Occupational Health Chiropractor in Oakwood, GA
• Providers in Oakwood, GA by specialty
• Occupational Health Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.