Individual provider Active NPI

Colin Ritsick, DC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1720897812
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR011316 Issued in GA
Practice address
4799 Olde Towne Pkwy
Marietta, GA 30068-4350
Phone
(770) 973-0150
NPI assigned
Jan 2, 2025
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 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 CHIR011316 GA Primary

Addresses

Primary practice location

4799 Olde Towne Pkwy
Marietta, GA 30068-4350

Mailing address

4799 Olde Towne Pkwy
Marietta, GA 30068-4350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250204002936 GA Practitioner - Chiropractic 7911437090 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR011316GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Langley Family Chiropractic, PC Chiropractor CurrentSince Jan 24, 2025 Accepting new patients

Locations

4994 Lower Roswell Rd
Ste 21
Marietta, GA 30068
Phone (770) 973-0150

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": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1720897812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4799 OLDE TOWNE PKWY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4799 OLDE TOWNE PKWY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684350",
            "telephone_number": "770-973-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITSICK",
        "first_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.