Active NPI
Sam Mohammad-Nia, D.C.
- Chiropractor
- Sandy Springs, GA
National Provider Identifier
1972839744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6413
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6413 | GA | MD | Chiropractor |
| 1487 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Spine and Health PLLC | Current | Accepting new patients | |
| Optimal Medical PLLC | Current | Accepting new patients | |
| North Georgia Physical Medicine | Past | Accepting new patients | |
| Optimal Health PLLC | Chiropractor | Past | Accepting new patients |
| Demboski Healthcare Inc | Past | 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.
-
- General Practice Physician
- Knoxville, TN
- NPI 1689354284
-
- General Practice Physician
- Knoxville, TN
- NPI 1063300234
-
- Interventional Pain Medicine Physician
- Cumming, GA
- NPI 1629344841
-
- General Practice Physician
- Cumming, GA
- NPI 1629586698
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Sandy Springs, GA
- NPI 1851559793
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.