Samantha Ann Ryder, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR011195 Issued in GA

Practice address

4319 Covington Hwy Ste 201
Decatur, GA 30035-1206

Phone

(678) 505-0000

NPI assigned

Jun 20, 2024

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

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Srilekha Specialized Health Clinics Inc

  • Chiropractor
  • Manassas, VA
  • NPI 1649130436
  Medicare reassignment NPD Authorized official
• Spine , Muscle and Joint Inc

  • Health Service Clinic/Center
  • Decatur, GA
  • NPI 1295330561
  NPD

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1669216180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W PACES FERRY RD NW APT 4216",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 COVINGTON HWY STE 201",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351206",
            "telephone_number": "678-505-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDER",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ameena Jeane Rutledge Ali, PHD
• Phyllis Edith Rutledge, M.D.
• Rxmtm Consultants LLC
• Chanel Ryan, PHARMD
• Danelle Ryder, CNA
• Mark Hosam Saad-Naguib, MD
• Janeah Saadeh, DC
• Susan A Sabatino, M.D.
• William Stephen Sabom, S.T.D., LPC
• Alicia Sacal Saba

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.