Individual provider Active NPI

Shawn Eric Seaney, D.C.

  • Chiropractor
  • Cumming, GA
National Provider Identifier
1740309210
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007623 Issued in GA
Practice address
3320 Dahlonega Hwy
Cumming, GA 30028-3915
Phone
(770) 888-9265
Fax
(770) 888-9266
NPI assigned
Mar 28, 2007
Last updated
Aug 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007623 GA Primary

Addresses

Primary practice location

3320 Dahlonega Hwy
Cumming, GA 30028-3915

Mailing address

3320 Dahlonega Hwy
Cumming, GA 30028-3915
Phone (770) 888-9265

Other identifiers 1

IdentifierTypeStateIssuer
P00335595OtherGAPALMETTO GBA MEDICARE RR#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000074 GA Practitioner - Chiropractic 8123091915 Reassigns benefits to 1 organization
Practice locations: Cumming, GA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3320 Dahlonega Hwy
Suite B
Cumming, GA 30028-3996
Phone (770) 888-9265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1740309210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 DAHLONEGA HWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300283915",
            "telephone_number": "770-888-9265",
            "fax_number": "770-888-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 DAHLONEGA HWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300283915",
            "telephone_number": "770-888-9265",
            "fax_number": "770-888-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEANEY",
        "first_name": "SHAWN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MEDICARE RR#",
            "identifier": "P00335595",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.