Organization Active NPI

Wilbert Family Chiropractic, LLC

  • Chiropractor
  • Austell, GA
National Provider Identifier
1043551088
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006445 Issued in GA
Legal business name
WILBERT FAMILY CHIROPRACTIC, LLC
Practice address
1757 E West Connector
Ste. 470
Austell, GA 30106-1251
Phone
(770) 944-0911
Fax
(770) 944-1892
NPI assigned
Mar 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Dr. Marci J Wilbert, D.C.NPI 1225128648
Title
Owner
Phone
(770) 944-0911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006445 GA Primary

Addresses

Primary practice location

1757 E West Connector
Ste. 470
Austell, GA 30106-1251

Mailing address

1757 E West Connector
Ste. 470
Austell, GA 30106-1251
Phone (770) 944-0911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131114001395 GA Part B Supplier - Clinic/Group Practice 8022244318 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1043551088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 E WEST CONNECTOR",
            "address_2": "STE. 470",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061251",
            "telephone_number": "770-944-0911",
            "fax_number": "770-944-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 E WEST CONNECTOR",
            "address_2": "STE. 470",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061251",
            "telephone_number": "770-944-0911",
            "fax_number": "770-944-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBERT FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "WILBERT",
        "authorized_official_first_name": "MARCI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-944-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.