Individual provider Active NPI

Deana M Brooksher, DC

  • Chiropractor
  • Sautee Nacoochee, GA
National Provider Identifier
1720018583
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6001 Issued in GA
Practice address
59 Garland Bristol Rd
Sautee Nacoochee, GA 30571-2702
Phone
(706) 878-1420
Fax
(706) 878-1420
NPI assigned
Jul 4, 2006
Last updated
Jul 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6001 GA Primary

Addresses

Primary practice location

59 Garland Bristol Rd
Sautee Nacoochee, GA 30571-2702

Mailing address

59 Garland Bristol Rd
Sautee Nacoochee, GA 30571-2702
Phone (706) 878-1420

Other names 1

  • Deana M Guadagno Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000846 GA Practitioner - Chiropractic 4183683626 Practice locations: Clarkesville, GA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 Laprade St
Clarkesville, GA 30523-5101

140 Laprade St
Clarkesville, GA 30523-5106
Phone (706) 878-1420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6001GAMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1720018583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 GARLAND BRISTOL RD",
            "city": "SAUTEE NACOOCHEE",
            "state": "GA",
            "postal_code": "305712702",
            "telephone_number": "706-878-1420",
            "fax_number": "706-878-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 GARLAND BRISTOL RD",
            "city": "SAUTEE NACOOCHEE",
            "state": "GA",
            "postal_code": "305712702",
            "telephone_number": "706-878-1420",
            "fax_number": "706-878-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKSHER",
        "first_name": "DEANA",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANA",
            "last_name": "GUADAGNO",
            "middle_name": "M",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sautee Nacoochee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.