Individual provider Active NPI

Samuel A Webb, DC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1891353611
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010184 Issued in GA
Practice address
950 Cobb Pkwy S Ste 190
Marietta, GA 30060-6500
Phone
(770) 427-7387
Fax
(770) 426-1491
NPI assigned
Jun 5, 2019
Last updated
Jun 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010184 GA Primary

Addresses

Primary practice location

950 Cobb Pkwy S Ste 190
Marietta, GA 30060-6500

Mailing address

950 Cobb Pkwy S Ste 190
Marietta, GA 30060-6500
Phone (770) 427-7387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902001056 GA Practitioner - Chiropractic 0345667598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remedy ChiropracticGroup PAC ID 6901269232, 2 clinicians

Practice addresses (Care Compare)

125 Flat Creek TRL
Suite 150
Fayetteville, GA 30214-4755
Phone (770) 487-7730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010184GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthchoice Center of Peachtree City LLC CurrentSince Aug 1, 2020 Accepting new patients
Remedy Chiropractic Chiropractor CurrentSince Oct 1, 2023 Accepting new patients
Healthplus Wellness Center, Inc. Chiropractor PastSince Jan 26, 2017 Accepting new patients

Locations

125 Flat Creek Trl
Ste 150
Fayetteville, GA 30214
Phone (770) 487-7730

14 Eastbrook Bnd
Ste 201
Peachtree Cty, GA 30269
Phone (770) 408-0184

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1891353611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 COBB PKWY S STE 190",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606500",
            "telephone_number": "770-427-7387",
            "fax_number": "770-426-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 COBB PKWY S STE 190",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606500",
            "telephone_number": "770-427-7387",
            "fax_number": "770-426-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "SAMUEL",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010184",
            "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 Jun 5, 2019; 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.