Individual provider Active NPI

Shakira N Lee, D.C.

  • Chiropractor
  • Suwanee, GA
National Provider Identifier
1831550300
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO09597 Issued in GA
Practice address
4411 Suwanee Dam Rd Ste 635
Suwanee, GA 30024-8708
Phone
(770) 765-3884
NPI assigned
Mar 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO09597 GA Primary

Addresses

Primary practice location

4411 Suwanee Dam Rd Ste 635
Suwanee, GA 30024-8708

Mailing address

2305 Hackamore Dr
Atlanta, GA 30349-4384
Phone (770) 765-3884

Other practice location 1

40 Eastbrook Bnd Ste C
Peachtree City, GA 30269-1567
Phone (678) 432-4755

Other identifiers 1

IdentifierTypeStateIssuer
CHIRO07597OtherGANONE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606001511 DE Practitioner - Chiropractic 7113225970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Integrative Healthcare LLCGroup PAC ID 7012254378, 5 clinicians

Practice addresses (Care Compare)

421 E Main St
Suite 6
Middletown, DE 19709-1463
Phone (302) 376-5830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO09597GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Integrative Healthcare LLC Chiropractor CurrentSince Apr 4, 2025 Accepting new patients
Delaware Integrative Healthcare, LLC CurrentSince Apr 4, 2025 Accepting new patients

Locations

421 E Main St
Ste 6
Middletown, DE 19709
Phone (302) 376-5830

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1831550300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 HACKAMORE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303494384",
            "telephone_number": "770-765-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 SUWANEE DAM RD STE 635",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248708",
            "telephone_number": "770-765-3884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Eastbrook Bnd Ste C",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302691567",
            "country_code": "US",
            "telephone_number": "678-432-4755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHAKIRA",
        "middle_name": "N",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO09597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "CHIRO07597",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.