Individual provider Active NPI

Salman Gerami Sarabi, D.C.

  • Chiropractor
  • Canton, GA
National Provider Identifier
1851703482
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009179 Issued in GA
Practice address
400 Argonne Ter
Canton, GA 30115-4773
Phone
(678) 880-7024
Fax
(678) 880-9963
NPI assigned
Jun 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR009179 GA Primary

Addresses

Primary practice location

400 Argonne Ter
Canton, GA 30115-4773

Mailing address

400 Argonne Ter
Canton, GA 30115-4773
Phone (678) 880-7024

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200115001777 GA Practitioner - Chiropractic 4385958479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10172 Dallas Acworth Hwy
Suite 109
Dallas, GA 30132
Phone (404) 409-8019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009179GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Acworth Chiropractic PA Chiropractor CurrentSince Apr 9, 2024 Accepting new patients
Canton Chiropractic and Massage Inc Chiropractor CurrentSince Dec 6, 2019 Accepting new patients

Locations

400 Argonne Ter
Canton, GA 30115
Phone (678) 880-7024

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1851703482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ARGONNE TER",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301154773",
            "telephone_number": "678-880-7024",
            "fax_number": "678-880-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ARGONNE TER",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301154773",
            "telephone_number": "678-880-7024",
            "fax_number": "678-880-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARABI",
        "first_name": "SALMAN",
        "middle_name": "GERAMI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.