Individual provider Active NPI

Thomas Tumbarello, D.C.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1013986678
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006645 Issued in GA
Practice address
700 Sandy Plains Rd
Ste a 8
Marietta, GA 30066-6370
Phone
(678) 355-9090
NPI assigned
Mar 16, 2006
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006645 GA Primary

Addresses

Primary practice location

700 Sandy Plains Rd
Ste a 8
Marietta, GA 30066-6370

Mailing address

700 Sandy Plains Rd
Ste a 8
Marietta, GA 30066-6370
Phone (678) 355-9090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000216 GA Practitioner - Chiropractic 2961453238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Sandy Plains Rd
Marietta, GA 30066-6392
Phone (678) 355-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006645GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Haralson Spinal Clinics,Inc. Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1013986678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SANDY PLAINS RD",
            "address_2": "STE A 8",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666370",
            "telephone_number": "678-355-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SANDY PLAINS RD",
            "address_2": "STE A 8",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666370",
            "telephone_number": "678-355-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMBARELLO",
        "first_name": "THOMAS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.