Individual provider Active NPI

Sean Gray McWilliams, D.C.

  • Chiropractor
  • Alpharetta, GA
National Provider Identifier
1760574875
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005642 Issued in GA
Practice address
11800 Northfall LN Ste 1401
Alpharetta, GA 30009-7976
Phone
(770) 998-1414
Fax
(770) 998-1470
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005642 GA Primary

Addresses

Primary practice location

11800 Northfall LN Ste 1401
Alpharetta, GA 30009-7976

Mailing address

11800 Northfall LN Ste 1401
Alpharetta, GA 30009-7976
Phone (770) 998-1414

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
005642GAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1760574875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 NORTHFALL LN STE 1401",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097976",
            "telephone_number": "770-998-1414",
            "fax_number": "770-998-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 NORTHFALL LN STE 1401",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097976",
            "telephone_number": "770-998-1414",
            "fax_number": "770-998-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWILLIAMS",
        "first_name": "SEAN",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "005642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.