Michael A Marceca, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

002314 Issued in GA

Practice address

123 Ellis Rd
Ste a
Fayetteville, GA 30214-1483

Phone

(770) 461-7664

Fax

(770) 461-1676

NPI assigned

Oct 25, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1984

Medicare assignment

May accept Medicare assignment

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.

• Marceca Chiropractic Center PC

  • Medical Specialty Clinic/Center
  • Fayetteville, GA
  • NPI 1043587280
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1699765248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ELLIS RD",
            "address_2": "STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141483",
            "telephone_number": "770-461-7664",
            "fax_number": "770-461-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ELLIS RD",
            "address_2": "STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141483",
            "telephone_number": "770-461-7664",
            "fax_number": "770-461-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCECA",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "002314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52153978",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaela Manias
• Valarie Wright Manley, MD
• Mikayla Mann, M.S., CCC-SLP
• Janet Battle Mannion
• Marceca Chiropractic Center PC
• Michelle Marie Marchese-Deutscher, OT
• Mark Lynn OD & Associates PC
• David Wayne Markham, MD, MSC
• Jasmine Denee' Marks, DDS
• Morgan Marshall, SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.