Individual provider Active NPI

Cory Plasker, DC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1285274480
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO10301 Issued in GA
Practice address
147 Johnson Ferry Rd Ste 4230
Marietta, GA 30068-4952
Phone
(770) 509-9938
NPI assigned
Jan 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO10301 GA Primary

Addresses

Primary practice location

147 Johnson Ferry Rd Ste 4230
Marietta, GA 30068-4952

Mailing address

519B Johnson Ferry Road, Suite 350
Marietta, GA 30068
Phone (770) 509-9938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO10301GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Year Lifestyle Chiropractic & Decompression LLC Chiropractor CurrentSince Sep 12, 2021 Accepting new patients

Locations

147 Johnson Ferry Rd
Ste 4230
Marietta, GA 30068
Phone (404) 806-3731

Organizations & group practices 1

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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1285274480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519B JOHNSON FERRY ROAD, SUITE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30068",
            "telephone_number": "770-509-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 JOHNSON FERRY RD STE 4230",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684952",
            "telephone_number": "770-509-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASKER",
        "first_name": "CORY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO10301",
            "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 Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.