Active NPI
Annette Marie Degliumberto, D.C.
- Chiropractor
- Cumming, GA
National Provider Identifier
1740395573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008113
- Practice address
- 101 Meadow Dr
Suite J
Cumming, GA 30040-2694 - Phone
- (678) 455-7646
- Fax
- (678) 455-7647
- NPI assigned
- Aug 20, 2006
- Last updated
- Jan 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008113 | GA | Primary |
Addresses
Primary practice location
101 Meadow Dr
Suite J
Cumming, GA 30040-2694
Mailing address
101 Meadow Dr
Ste J
Cumming, GA 30040-2694
Phone (678) 455-7646
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
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR008113 | GA | MD | Chiropractor |
| 8113 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher Brookes | Chiropractor | Past | Accepting new patients |
| Lighthouse Chiropractic Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Lighthouse Chiropractic Center, LLC
- Chiropractor
- Flowery Branch, GA
- NPI 1780857771
-
- Chiropractor
- Flowery Branch, GA
- NPI 1790845857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263513600000",
"number": "1740395573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MEADOW DR",
"address_2": "STE J",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402694",
"telephone_number": "678-455-7646",
"fax_number": "678-455-7647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MEADOW DR",
"address_2": "SUITE J",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402694",
"telephone_number": "678-455-7646",
"fax_number": "678-455-7647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGLIUMBERTO",
"first_name": "ANNETTE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2010-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
- Thomas Albert Davis, M.D.
- Jennifer Leigh Dawson, PHARMD
- Julie Ann Deane, M.ED, CCC-SLP
- Deborah a Martin, MD, Facs
- Charles Adam Decook, MD
- Gwendolyn A Delaney, MD
- Natalie Marie Delgado, APC
- Benjamin Deloach, PT, DPT
- Jennifer Deluca, R.D.
- Demboski Healthcare Inc (North Georgia Pain Management Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.