Individual provider Active NPI

Sharon Marie Loggins, D.C.

  • Chiropractor
  • Tyrone, GA
National Provider Identifier
1669582599
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009489 Issued in GA
Practice address
909 Senoia Rd Ste a
Tyrone, GA 30290-6805
Phone
(770) 225-2426
Fax
(678) 550-9057
NPI assigned
Aug 30, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9057 FL
Chiropractor 111N00000X CHIR009489 GA Primary

Addresses

Primary practice location

909 Senoia Rd Ste a
Tyrone, GA 30290-6805

Mailing address

909 Senoia Rd Ste a
Tyrone, GA 30290-6805
Phone (770) 225-2426

Other practice location 1

321 Indian Rocks Road N
Suite C
Belleair Bluffs, FL 33770-2000
Phone (727) 559-7881

Other identifiers 1

IdentifierTypeStateIssuer
PTAN:46304ZOtherFLMEDICARE

Other names 1

  • Dr. Sharon Marie Defrain Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9057FLMDChiropractor
CHIR009489GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Pepper Chiropractic-Acupuncture Center Inc Chiropractor PastSince Apr 12, 1999 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669582599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SENOIA RD STE A",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302906805",
            "telephone_number": "770-225-2426",
            "fax_number": "678-550-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SENOIA RD STE A",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302906805",
            "telephone_number": "770-225-2426",
            "fax_number": "678-550-9057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 INDIAN ROCKS ROAD N",
            "address_2": "SUITE C",
            "address_purpose": "LOCATION",
            "city": "BELLEAIR BLUFFS",
            "state": "FL",
            "postal_code": "337702000",
            "country_code": "US",
            "telephone_number": "727-559-7881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGGINS",
        "first_name": "SHARON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9057",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PTAN:46304Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "DEFRAIN",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tyrone, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.