Individual provider Active NPI

Jeremy Thomas Dimartino, D.C.

  • Sports Physician Chiropractor
  • Milton, GA
National Provider Identifier
1376659847
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CHIR008758 Issued in GA
Practice address
15800 Birmingham Hwy Ste 500
Milton, GA 30004-4423
Phone
(678) 266-3300
Fax
(678) 266-3322
NPI assigned
Aug 21, 2006
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010478 IL
Sports Physician Chiropractor 111NS0005X CHIR008758 GA Primary

Addresses

Primary practice location

15800 Birmingham Hwy Ste 500
Milton, GA 30004-4423

Mailing address

15800 Birmingham Hwy
Ste 500
Milton, GA 30004-4423
Phone (770) 455-5002

Other identifiers 1

IdentifierTypeStateIssuer
0034942136OtherILBCBS PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120821000355 GA Practitioner - Chiropractic 2668487208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dimartino Chiropractic LLCGroup PAC ID 6305093774, 3 clinicians

Practice addresses (Care Compare)

15800 Birmingham Hwy
Suite 500
Milton, GA 30004-4423
Phone (678) 266-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010478ILMDChiropractor
CHIR008758GAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dimartino Chiropractic LLC Chiropractor CurrentSince Sep 1, 2012 Accepting new patients
Kennestone Hospital, Inc Past Accepting new patients
Menner Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

15800 Birmingham Hwy
Ste 500
Milton, GA 30004
Phone (678) 266-3300

980 Birmingham Rd
Ste 502
Milton, GA 30004
Phone (678) 266-3300

980 Birmingham Rd
Ste 811
Milton, GA 30004
Phone (404) 483-3018

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1376659847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 BIRMINGHAM HWY",
            "address_2": "STE 500",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300044423",
            "telephone_number": "770-455-5002",
            "fax_number": "678-266-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 BIRMINGHAM HWY STE 500",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300044423",
            "telephone_number": "678-266-3300",
            "fax_number": "678-266-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARTINO",
        "first_name": "JEREMY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010478",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "CHIR008758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0034942136",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.