Active NPI
Cory Plasker, DC
- Chiropractor
- Marietta, GA
National Provider Identifier
1285274480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO10301
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO10301 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 100 Year Lifestyle Chiropractic & Decompression LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Marietta, GA
- NPI 1750231031
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.