Mary Ann Luckett, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR006420 Issued in GA

Practice address

3289 Salem Rd
Covington, GA 30016-1863

Phone

(770) 760-1396

Fax

(770) 760-7904

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Billingsley and Luckett Chiropractic and Rehab. PCGroup PAC ID 4284611815, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Billingsley & Luckett Chiropractic & Rehab. PC

  • Rehabilitation Chiropractor
  • Covington, GA
  • NPI 1245426097
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164566840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 SALEM RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300161863",
            "telephone_number": "770-760-1396",
            "fax_number": "770-760-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3289 SALEM RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300161863",
            "telephone_number": "770-760-1396",
            "fax_number": "770-760-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKETT",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carlene Lynch
• Margaret Blanche Lyons, FNP
• M. Michael Pulliam, M.D., P.C.

• Chiropractor in Covington, GA
• Providers in Covington, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.