NESEMIO SANTIAGO D.C.
NPI 1174672109
Chiropractor in Lilburn, GA

Active since January 09, 2007
880 INDIAN TRAIL LILBURN RD NW, LILBURN, GA 30047(770) 921-1498(770) 921-6702 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nesemio Santiago D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NESEMIO SANTIAGO D.C. (NPI 1174672109) is an individual chiropractor in Lilburn, Georgia, licensed in Georgia (CHIR007788) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1174672109
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameNESEMIO SANTIAGOCredential: D.C.
Location Address880 INDIAN TRAIL LILBURN RD NWLilburn, GA 30047-6844
Mailing Address544 Rivulett CtLawrenceville, GA 30043-5487 · (770) 921-1498 · Fax (770) 921-6702
Fax(770) 921-6702
Sole ProprietorYes
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174672109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR007788
Definition
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.
880 INDIAN TRAIL LILBURN RD NW, Lilburn, GA 30047

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nesemio Santiago D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nesemio Santiago reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
5886 DE ZAVALA RD STE 101
San Antonio, TX 78249
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nesemio Santiago's NPI number?

The NPI number for Nesemio Santiago is 1174672109. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Nesemio Santiago located?

Nesemio Santiago practices at 880 Indian Trail Lilburn Rd NW, Lilburn, GA 30047. The listed phone number is (770) 921-1498.

What is Nesemio Santiago's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Nesemio Santiago enrolled in Medicare?

Yes. Nesemio Santiago is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nesemio Santiago's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nesemio Santiago reassigns Medicare benefits to Medx Wellness, LLC (San Antonio, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nesemio Santiago's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nesemio Santiago accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Nesemio Santiago as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nesemio Santiago was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.