Active NPI
Noah Marchese, DC
- Chiropractor
- Peachtree City, GA
National Provider Identifier
1356725675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009550
- Practice address
- 14 Eastbrook BND # 201
Peachtree City, GA 30269-1530 - Phone
- (770) 408-0184
- Fax
- (770) 632-7747
- NPI assigned
- Jul 16, 2015
- 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 | CHIR009550 | GA | Primary |
Addresses
Primary practice location
14 Eastbrook BND # 201
Peachtree City, GA 30269-1530
Mailing address
14 Eastbrook BND # 201
Peachtree City, GA 30269-1530
Phone (770) 408-0184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14 Eastbrook BND
Suite 201
Peachtree City, GA 30269-1521
Phone (770) 408-0184
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009550 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthchoice Center of Peachtree City LLC | Current | Accepting new patients |
Locations
14 Eastbrook Bnd
Ste 201
Peachtree Cty, GA 30269
Phone (770) 408-0184
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.
-
- General Practice Physician
- Peachtree City, GA
- NPI 1073747002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1356725675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 EASTBROOK BND # 201",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691530",
"telephone_number": "770-408-0184",
"fax_number": "770-632-7747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 EASTBROOK BND # 201",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691530",
"telephone_number": "770-408-0184",
"fax_number": "770-632-7747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHESE",
"first_name": "NOAH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-16",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.