Individual provider Active NPI

Sam Mohammad-Nia, D.C.

  • Chiropractor
  • Sandy Springs, GA
National Provider Identifier
1972839744
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6413 Issued in GA
Practice address
6690 Roswell Rd NE
Sandy Springs, GA 30328-3161
Phone
(678) 999-8531
Fax
(404) 497-9757
NPI assigned
Oct 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6413 GA Primary

Addresses

Primary practice location

6690 Roswell Rd NE
Sandy Springs, GA 30328-3161

Mailing address

6690 Roswell Rd NE
Sandy Springs, GA 30328-3161
Phone (678) 999-8531

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312000336 TN Practitioner - Chiropractic 0648313189 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
6413GAMDChiropractor
1487TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Spine and Health PLLC CurrentSince Sep 1, 2025 Accepting new patients
Optimal Medical PLLC CurrentSince Oct 1, 2024 Accepting new patients
North Georgia Physical Medicine Past Accepting new patients
Optimal Health PLLC Chiropractor Past Accepting new patients
Demboski Healthcare Inc PastSince Apr 4, 2007 Accepting new patients
Total Healthcare II, LLC Past Accepting new patients

Locations

8906 Kingston Pike
Knoxville, TN 37923
Phone (865) 690-4200

900 E Hill Ave
Ste 205
Knoxville, TN 37915
Phone (865) 415-2620

2905 Tazewell Pike
Knoxville, TN 37918
Phone (865) 686-1600

Organizations & group practices 6

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": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1972839744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6690 ROSWELL RD NE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283161",
            "telephone_number": "678-999-8531",
            "fax_number": "404-497-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6690 ROSWELL RD NE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283161",
            "telephone_number": "678-999-8531",
            "fax_number": "404-497-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMAD-NIA",
        "first_name": "SAM",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.