DR. SAMUEL CLAVELL (NPI# 1528374162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528374162 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL CLAVELL |
| Credential | D.C. |
| Practice Address |
2615 E West Connector Ste.108 Austell GA 30106-6848 |
| Mailing Address |
1239 Grampian Pass Marietta GA 30008-8705 |
| Practice Telephone | 7709431425 |
| Practice Fax Number | 7709431452 |
| Mailing Telephone | 4047915025 |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2012-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR008695 | GA | Chiropractic Providers |
| Street Address |
2615 E WEST CONNECTOR STE.108 |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-6848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114902053 | American Health Imaging of Ga LLC | Clinic/Center | 2615 E West Connector, Suite 122, Austell, GA 30106-6848 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245631 | Sylvia Bridges | Chiropractor | 2132 Shadygrove Walk, Austell, GA 30168-6333 | 2018-08-17 |
| 1538686258 | Chiropractic Game Changers, LLC | Chiropractor | 2615 E West Connector Ste 108, Austell, GA 30106-6854 | 2017-08-23 |
| 1235421819 | Wilbert Family Chiropractic | Chiropractor | 1757 East W Connector Ste 4, Austell, GA 30106-1251 | 2011-05-13 |
| 1760789705 | Afshin Shirinzadeh | Chiropractor | 4386 Stonecrest Dr, Austell, GA 30106-8203 | 2011-02-25 |
| 1013226281 | Brian Richard Flannery I | Chiropractor | 2615 East West Connector, Austell, GA 30106 | 2010-10-05 |
| 1811170947 | Berman Chiropractic Clinic | Chiropractor | 2495 E West Connector, Suite 90, Austell, GA 30106-6816 | 2007-12-12 |
| 1811191927 | J.philip Eugene Gatcha | Chiropractor | 2809 Veterans Memorial Hwy, Austell, GA 30168-3902 | 2007-06-13 |
| 1811067051 | Michael J Lonati | Chiropractor | 411 Maxham Rd, Suite 1100, Austell, GA 30168-2903 | 2006-11-08 |
| 1730268525 | Keith Braswell | Chiropractor | 4399 Austell Rd, Austell, GA 30106-1838 | 2006-11-03 |
| 1225128648 | Marci Jill Wilbert | Chiropractor | 1757 East West Connector Rd, Suite 470, Austell, GA 30106 | 2006-10-14 |
| Find all providers in AUSTELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.