Active NPI
Deborah Caroline Tucker, DC
- Orthopedic Chiropractor
- Marietta, GA
National Provider Identifier
1053420265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 5278
- Practice address
- 2769 Chastain Meadows Pkwy
130
Marietta, GA 30066-3369 - Phone
- (770) 424-4040
- Fax
- (770) 424-0051
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 5278 | GA | Primary |
Addresses
Primary practice location
2769 Chastain Meadows Pkwy
130
Marietta, GA 30066-3369
Mailing address
2769 Chastain Meadows Pkwy
130
Marietta, GA 30066-3369
Phone (770) 424-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5278 | GA | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brannan Chiropractic LLC | Orthopedic | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1053420265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2769 CHASTAIN MEADOWS PKWY",
"address_2": "130",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300663369",
"telephone_number": "770-424-4040",
"fax_number": "770-424-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2769 CHASTAIN MEADOWS PKWY",
"address_2": "130",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300663369",
"telephone_number": "770-424-4040",
"fax_number": "770-424-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "DEBORAH",
"middle_name": "CAROLINE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "GA",
"license": "5278",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.