Organization Active NPI

Thomas Tumbarello DC PC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1194994194
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006645 Issued in GA
Legal business name
THOMAS TUMBARELLO DC PC
Practice address
700 Sandy Plains Rd Ste A8
Marietta, GA 30066-6392
Phone
(678) 355-9090
Fax
(678) 354-3691
NPI assigned
Feb 22, 2008
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Dr. Thomas Tumbarello, DCNPI 1013986678
Title
Chiropractor
Phone
(678) 355-9090

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
Chiropractor 111N00000X CHIR006645 GA Primary

Addresses

Primary practice location

700 Sandy Plains Rd Ste A8
Marietta, GA 30066-6392

Mailing address

700 Sandy Plains Rd Ste A8
Marietta, GA 30066-6392
Phone (678) 355-9090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050203000415 GA Part B Supplier - Clinic/Group Practice 8426009796 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Locations

1830 Water Pl SE
Ste 110
Atlanta, GA 30339
Phone (770) 951-9322

700 Sandy Plains Rd
Ste A8
Marietta, GA 30066
Phone (678) 355-9090

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1194994194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SANDY PLAINS RD STE A8",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666392",
            "telephone_number": "678-355-9090",
            "fax_number": "678-354-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SANDY PLAINS RD STE A8",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666392",
            "telephone_number": "678-355-9090",
            "fax_number": "678-354-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS TUMBARELLO DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "TUMBARELLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "678-355-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.