Individual provider Active NPI

Jessica Chabot, DC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1316701808
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010972 Issued in GA
Practice address
2253 Northwest Pkwy SE
Marietta, GA 30067-8764
Phone
(404) 855-2141
NPI assigned
Feb 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010972 GA Primary

Addresses

Primary practice location

2253 Northwest Pkwy SE
Marietta, GA 30067-8764

Mailing address

2019 Bethlehem Church Rd
Grantville, GA 30220-1863
Phone (321) 287-3926

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250814003718 GA Practitioner - Chiropractic 0143729459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark E. Cotney, D.C., P.C.Group PAC ID 5698840478, 2 clinicians

Practice addresses (Care Compare)

101 N Green St
Thomaston, GA 30286-3554
Phone (706) 647-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark E. Cotney, D.C., P.C. Chiropractor CurrentSince Jun 25, 2025 Accepting new patients

Locations

101 N Green St
Thomaston, GA 30286
Phone (404) 648-4242

Interoperability endpoints

  • Direct secure messaging: jessica.chabot.p1@direct.aicaorthopedics.nextgenshare.com

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": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1316701808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 BETHLEHEM CHURCH RD",
            "city": "GRANTVILLE",
            "state": "GA",
            "postal_code": "302201863",
            "telephone_number": "321-287-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 NORTHWEST PKWY SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678764",
            "telephone_number": "404-855-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHABOT",
        "first_name": "JESSICA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010972",
            "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 Feb 6, 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.