Individual provider Active NPI

Steven Mark Sommer, D.C.

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1962878025
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO09507 Issued in GA
Practice address
3499 Duluth Park LN
Ste 110
Duluth, GA 30096-5716
Phone
(770) 623-9291
Fax
(770) 623-1308
NPI assigned
Aug 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO09507 GA Primary

Addresses

Primary practice location

3499 Duluth Park LN
Ste 110
Duluth, GA 30096-5716

Mailing address

3499 Duluth Park LN
Ste 110
Duluth, GA 30096-5716
Phone (770) 623-9291

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151204000225 GA Practitioner - Chiropractic 9133429749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3499 Duluth Park LN
Suite 110
Duluth, GA 30096-5716

3699 Duluth Park Lane
Suite 110
Duluth, GA 30096
Phone (770) 623-9291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO09507GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Good for Life Duluth LLC Current Accepting new patients
Dr. Steven Sommer LLC Chiropractor CurrentSince May 5, 2016 Accepting new patients
Gary S Martin PC Chiropractor Past Accepting new patients

Locations

3499 Duluth Park Ln
Ste 110
Duluth, GA 30096
Phone (770) 623-9291

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1962878025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 DULUTH PARK LN",
            "address_2": "STE 110",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965716",
            "telephone_number": "770-623-9291",
            "fax_number": "770-623-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 DULUTH PARK LN",
            "address_2": "STE 110",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965716",
            "telephone_number": "770-623-9291",
            "fax_number": "770-623-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMER",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-12",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO09507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.