Individual provider Active NPI

Sherterica Hall, D.C.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1861943573
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010154 Issued in GA
Practice address
1290 Kennestone Cir Ste A105
Marietta, GA 30066-6010
Phone
(404) 720-8187
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010154 GA Primary

Addresses

Primary practice location

1290 Kennestone Cir Ste A105
Marietta, GA 30066-6010

Mailing address

2185 Powder Springs Rd SW
Marietta, GA 30064-4351
Phone (310) 896-6993

Other practice location 1

130 Vann St NE
Marietta, GA 30060-8961
Phone (404) 720-8187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010154GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic First of Michigan PLLC Chiropractor CurrentSince Mar 4, 2021 Accepting new patients

Locations

15700 E 9 Mile Rd
Eastpointe, MI 48021
Phone (586) 772-7770

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": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1861943573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 POWDER SPRINGS RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644351",
            "telephone_number": "310-896-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 KENNESTONE CIR STE A105",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666010",
            "telephone_number": "404-720-8187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Vann St NE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300608961",
            "country_code": "US",
            "telephone_number": "404-720-8187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "SHERTERICA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.