Organization Active NPI

1St Choice Healthcare Center, LLC

  • Sports Physician Chiropractor
  • Decatur, GA
National Provider Identifier
1801089917
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CHIR002615 Issued in GA
Legal business name
1ST CHOICE HEALTHCARE CENTER, LLC
Practice address
1423 Church St
Decatur, GA 30030-1527
Phone
(404) 377-0011
Fax
(404) 377-0760
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Dr. Hamid Sadri, D.C., C.C.S.P.
Title
Officer
Phone
(404) 377-0011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X CHIR002615 GA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT009017 GA

Addresses

Primary practice location

1423 Church St
Decatur, GA 30030-1527

Mailing address

1423 Church St
Decatur, GA 30030-1527
Phone (404) 377-0011

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1801089917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 CHURCH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301527",
            "telephone_number": "404-377-0011",
            "fax_number": "404-377-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 CHURCH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301527",
            "telephone_number": "404-377-0011",
            "fax_number": "404-377-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CHOICE HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "SADRI",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "404-377-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.S.P."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "CHIR002615",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.