Individual provider Active NPI

Sasha T Stolz, D.C.

  • Chiropractor
  • Decatur, GA
National Provider Identifier
1821422668
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009186 Issued in GA
Practice address
2545 Lawrenceville Hwy
Ste 100
Decatur, GA 30033-3239
Phone
(404) 377-0011
Fax
(770) 939-9353
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009186 GA Primary

Addresses

Primary practice location

2545 Lawrenceville Hwy
Ste 100
Decatur, GA 30033-3239

Mailing address

2545 Lawrenceville Hwy
Ste 100
Decatur, GA 30033-3239
Phone (404) 377-0011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203001523 GA Practitioner - Chiropractic 9537463039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
1St Choice Sports Rehabilitation CenterGroup PAC ID 0547572570, 5 clinicians

Practice addresses (Care Compare)

2545 Lawrenceville Hwy 100
Decatur, GA 30033-3241
Phone (404) 377-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009186GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
1St Choice Sports Rehabilitation Center Chiropractor CurrentSince Jan 1, 2016 Accepting new patients

Locations

2545 Lawrenceville Hwy
Ste 100
Decatur, GA 30033
Phone (404) 377-0011

1400 Montreal Rd
Ste 100
Tucker, GA 30084
Phone (404) 377-0011

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1821422668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 LAWRENCEVILLE HWY",
            "address_2": "STE 100",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333239",
            "telephone_number": "404-377-0011",
            "fax_number": "770-939-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 LAWRENCEVILLE HWY",
            "address_2": "STE 100",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333239",
            "telephone_number": "404-377-0011",
            "fax_number": "770-939-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLZ",
        "first_name": "SASHA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009186",
            "primary": true
        }
    ],
    "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 28, 2013; 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.