Sharon Graddy, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

007645 Issued in GA

Practice address

2265 Roswell Rd
100
Marietta, GA 30062-2997

Phone

(770) 509-2200

Fax

(770) 509-2231

NPI assigned

Oct 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1770770992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 ROSWELL RD",
            "address_2": "100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622997",
            "telephone_number": "770-509-2200",
            "fax_number": "770-509-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 ROSWELL RD",
            "address_2": "100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622997",
            "telephone_number": "770-509-2200",
            "fax_number": "770-509-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADDY",
        "first_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "GA",
            "license": "007645",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "007645",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "007645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deja Graham
• Heath Ross Graham, M.D.
• Heather Joie Graham, LCSW
• Jamin Graham, MD

• All providers in Marietta, GA
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.