Individual provider Active NPI

Sinan N Feidy

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1841703188
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009242 Issued in GA
Practice address
1230 Johnson Ferry PL
Marietta, GA 30068-2048
Phone
(770) 977-9200
Fax
(770) 977-5531
NPI assigned
Nov 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 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 CHIR009242 GA Primary

Addresses

Primary practice location

1230 Johnson Ferry PL
Marietta, GA 30068-2048

Mailing address

1230 Johnson Ferry PL Ste G30
Marietta, GA 30068-2058
Phone (770) 977-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190410000895 GA Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 0244571701 Reassigns benefits to 1 organization
Practice locations: Marietta, GA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Life Chiropractic College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1230 Johnson Ferry PL
Suite G30
Marietta, GA 30068-2058
Phone (770) 977-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009242GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic Chiropractor CurrentSince Jun 28, 2017 Accepting new patients

Locations

1230 Johnson Ferry Pl
Ste G30
Marietta, GA 30068
Phone (770) 565-3939

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1841703188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL STE G30",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682058",
            "telephone_number": "770-977-9200",
            "fax_number": "770-977-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682048",
            "telephone_number": "770-977-9200",
            "fax_number": "770-977-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIDY",
        "first_name": "SINAN",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.