Scott Willis McCormick, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR011408 Issued in GA

Practice address

3901 Mary Eliza Trce NW Ste 201
Marietta, GA 30064-1096

Phone

(215) 694-4831

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fulfillment Chiropractic, LLC

  • Chiropractor
  • Marietta, GA
  • NPI 1912862350
  Medicare reassignment NPD Authorized official
• Avon Discount Pharmacy LLC

  • Pharmacy
  • Philadelphia, PA
  • NPI 1174172274
  NPD (past)
• McCormick Depasque Chiropractic, Professional Corporation

  • Chiropractor
  • Willow Grove, PA
  • NPI 1215157714
  NPD (past)
• Northeast Chiropractic Bodyshop, P.C.

  • Chiropractor
  • Philadelphia, PA
  • NPI 1497847404
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1467566570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GULF BLVD APT 202",
            "city": "INDIAN ROCKS BEACH",
            "state": "FL",
            "postal_code": "337852726",
            "telephone_number": "215-694-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MARY ELIZA TRCE NW STE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641096",
            "telephone_number": "215-694-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "SCOTT",
        "middle_name": "WILLIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aiyana McCollum
• Catherine McCollum, M.ED, LPC, NCC
• Tyania Belle McConnell, LCSW
• Elizabeth McCord, PHARMD
• Robert Eugene McCormack, M.D.
• Lori Eisenberg McCorry, AU.D.
• Bradley Scott McCowan, MD
• Frank P. McCoy, MD, PHD
• Jordan McCoy
• Tyrone McCoy

• Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.