Individual provider Active NPI

Marci Jill Wilbert, DC

  • Chiropractor
  • Austell, GA
National Provider Identifier
1225128648
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006445 Issued in GA
Practice address
1757 East West Connector Rd
Suite 470
Austell, GA 30106
Phone
(770) 944-0911
Fax
(770) 944-1892
NPI assigned
Oct 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006445 GA Primary

Addresses

Primary practice location

1757 East West Connector Rd
Suite 470
Austell, GA 30106

Mailing address

PO Box 249
Wilbert Family Chiropractic
Mableton, GA 30126
Phone (770) 944-0911

Other names 1

  • Ms. Marci Jill Hoard Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120201000625 GA Practitioner - Chiropractic 7618134743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3834 Austell Rd SW
Suite B
Marietta, GA 30008-5869
Phone (770) 944-0911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wilbert Family Chiropractic Chiropractor CurrentSince Jan 17, 2012 Accepting new patients
Wilbert Family Chiropractic, LLC Chiropractor CurrentSince Aug 14, 2013 Accepting new patients

Locations

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

3834 Austell Rd SW
Ste B
Marietta, GA 30008
Phone (770) 944-0911

Organizations & group practices 2

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": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1225128648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "address_2": "WILBERT FAMILY CHIROPRACTIC",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "30126",
            "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 EAST WEST CONNECTOR RD",
            "address_2": "SUITE 470",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "770-944-0911",
            "fax_number": "770-944-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBERT",
        "first_name": "MARCI",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCI",
            "last_name": "HOARD",
            "middle_name": "JILL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 15, 2010; 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.