Steven Mark Thacker, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIROO3134 Issued in GA

Practice address

1815 Highway 138 SE
Suite 600
Conyers, GA 30013-2079

Phone

(770) 860-8333

Fax

(770) 860-8833

NPI assigned

Nov 15, 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

Life Chiropractic College, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091

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.

• Doug Giles, DC, LLC

  • Physical Medicine & Rehabilitation Physician
  • Athens, GA
  • NPI 1619238805
  Medicare reassignment
• Thacker Chiropractic Clinic, LLC

  • Chiropractor
  • Conyers, GA
  • NPI 1255489712
  NPD
• Prime Spine Enterprises

  • Chiropractor
  • Conyers, GA
  • NPI 1326903006
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Piedmont Rockdale Hospital Inc.

  • General Acute Care Hospital
  • Conyers, GA
  • NPI 1306355680
  Care Compare affiliation

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598837296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 HIGHWAY 138 SE",
            "address_2": "SUITE 600",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132079",
            "telephone_number": "770-860-8333",
            "fax_number": "770-860-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HIGHWAY 138 SE",
            "address_2": "SUITE 600",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132079",
            "telephone_number": "770-860-8333",
            "fax_number": "770-860-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIROO3134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Terrell, LDO
• Daniel Tesfaye, MD
• Tgy Transportation, LLC
• Thacker Chiropractic Clinic, LLC
• Mitchel L. Thacker, D.C.
• Samantha Thames
• The Atlanta Cardioloyg Group, PC
• The Brighter Future Learning Center
• The Center for Spine Procedures, LLC
• The Diamond of Home Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.