Individual provider Active NPI

Dustin Parris, DC

  • Chiropractor
  • Brookhaven, GA
National Provider Identifier
1538971130
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO11228 Issued in GA
Practice address
3101 Clairmont Rd NE
Brookhaven, GA 30329-1044
Phone
(678) 877-5189
NPI assigned
Jan 22, 2025
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO11228 GA Primary

Addresses

Primary practice location

3101 Clairmont Rd NE
Brookhaven, GA 30329-1044

Mailing address

3000 Balearic Dr SE
Marietta, GA 30067-5404
Phone (678) 877-5189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119002069 GA Practitioner - Chiropractic 9133628126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Pro Health and Rehab LLCGroup PAC ID 5496901019, 2 clinicians

Practice addresses (Care Compare)

2453 Powder Springs Rd SW
Suite 210
Marietta, GA 30064-4570
Phone (770) 439-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Health and Rehab LLC CurrentSince Sep 11, 2025 Accepting new patients

Locations

2453 Powder Springs Rd SW
Ste 210
Marietta, GA 30064
Phone (678) 567-2313

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, 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": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1538971130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BALEARIC DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675404",
            "telephone_number": "678-877-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 CLAIRMONT RD NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291044",
            "telephone_number": "678-877-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRIS",
        "first_name": "DUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO11228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

Verify at the official NPI Registry.