Organization Active NPI

Clear Care Accident and Injury, LLC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1124843636
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLEAR CARE ACCIDENT AND INJURY, LLC
Practice address
1395 S Marietta Pkwy SE Ste 105
Marietta, GA 30067-8242
Phone
(570) 574-4152
NPI assigned
Nov 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Dr. Bianca Oldershaw, DCNPI 1356834790
Title
Owner/Chiropractor
Phone
(570) 574-4152

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 Primary

Addresses

Primary practice location

1395 S Marietta Pkwy SE Ste 105
Marietta, GA 30067-8242

Mailing address

1395 S Marietta Pkwy SE Ste 105
Marietta, GA 30067-8242
Phone (570) 574-4152

Other names 1

  • Clear Care Accident and Injury Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260205003063 GA Part B Supplier - Clinic/Group Practice 9638658008 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Locations

1395 S Marietta Pkwy SE
Ste 105
Marietta, GA 30067
Phone (570) 574-4152

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": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1124843636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 S MARIETTA PKWY SE STE 105",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678242",
            "telephone_number": "570-574-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S MARIETTA PKWY SE STE 105",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678242",
            "telephone_number": "570-574-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CARE ACCIDENT AND INJURY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "OLDERSHAW",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "570-574-4152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Care Accident and Injury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 10, 2025; 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.