Individual provider Active NPI

Joanna Marie Tarullo, DC

  • Chiropractor
  • Cartersville, GA
National Provider Identifier
1275247173
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR011287 Issued in GA
Practice address
11 Charley Harper Dr SE
Cartersville, GA 30120-1122
Phone
(678) 719-0891
NPI assigned
Jan 6, 2023
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0008638 CO
Chiropractor 111N00000X CHIR011287 GA Primary

Addresses

Primary practice location

11 Charley Harper Dr SE
Cartersville, GA 30120-1122

Mailing address

11 Charley Harper Dr SE
Cartersville, GA 30120-1122
Phone (678) 719-0891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240829004733 CO Practitioner - Chiropractic 8426597782 Reassigns benefits to 1 organization
I20250117002552 GA Practitioner - Chiropractic 8426597782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
100 Chiro Staples Cartersville PCGroup PAC ID 9537697933, 2 clinicians

Practice addresses (Care Compare)

11 Charley Harper Dr SE
Suite 140
Cartersville, GA 30120-1124
Phone (678) 719-0891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0008638COMDChiropractor
CHIR011287GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tor Wellness, LLC Chiropractor CurrentSince Aug 1, 2024 Accepting new patients
100 Chiro Staples Cartersville PC Chiropractor CurrentSince Oct 21, 2024 Accepting new patients
100 Percent Chiropractic Colorado Springs Six, LLC Chiropractor PastSince Jul 1, 2024 Accepting new patients

Locations

6049 Barnes Rd
Colorado Springs, CO 80922
Phone (719) 637-7900

11 Charley Harper Dr SE
Ste 140
Cartersville, GA 30120
Phone (678) 719-0891

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1275247173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHARLEY HARPER DR SE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301201122",
            "telephone_number": "678-719-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CHARLEY HARPER DR SE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301201122",
            "telephone_number": "678-719-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARULLO",
        "first_name": "JOANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008638",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.