Active NPI
Nicholas Dwayne Carlisle, D.C.
- Chiropractor
- Duluth, GA
National Provider Identifier
1356635023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008621
- Practice address
- 3775 Venture Dr BLDG K
Duluth, GA 30096-5102 - Phone
- (678) 878-3149
- Fax
- (404) 420-2939
- NPI assigned
- May 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | CHIR008621 | GA | Primary |
Addresses
Primary practice location
3775 Venture Dr BLDG K
Duluth, GA 30096-5102
Mailing address
10945 State Bridge Rd Ste 401-160
Johns Creek, GA 30022-8164
Phone (404) 316-1190
Other practice location 1
217 Arrowhead Blvd Ste A2
Jonesboro, GA 30236-1169
Phone (678) 771-3060
Other practice location 2
5009 Roswell Rd Ste 201
Atlanta, GA 30342-2205
Phone (404) 264-9553
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR008621 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Semes Inc | Current | Accepting new patients |
Locations
5009 Roswell Rd
Ste 120
Sandy Springs, GA 30342
Phone (404) 264-9553
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": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1356635023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10945 STATE BRIDGE RD STE 401-160",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300228164",
"telephone_number": "404-316-1190",
"fax_number": "404-420-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3775 VENTURE DR BLDG K",
"city": "DULUTH",
"state": "GA",
"postal_code": "300965102",
"telephone_number": "678-878-3149",
"fax_number": "404-420-2939"
}
],
"practiceLocations": [
{
"address_1": "217 Arrowhead Blvd Ste A2",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "GA",
"postal_code": "302361169",
"country_code": "US",
"telephone_number": "678-771-3060",
"fax_number": "404-420-2939",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5009 Roswell Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303422205",
"country_code": "US",
"telephone_number": "404-264-9553",
"fax_number": "404-420-2939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLISLE",
"first_name": "NICHOLAS",
"middle_name": "DWAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-31",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.