Active NPI
Tyler Farrell, DC
- Chiropractor
- Marietta, GA
National Provider Identifier
1760286934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR011134
- Practice address
- 1205 Johnson Ferry Rd Ste 125
Marietta, GA 30068-2766 - Phone
- (770) 292-9292
- NPI assigned
- Apr 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR011134 | GA | Primary |
Addresses
Primary practice location
1205 Johnson Ferry Rd Ste 125
Marietta, GA 30068-2766
Mailing address
1109 Mill Pond Dr SE
Smyrna, GA 30082-3815
Phone (586) 722-3225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR011134 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1760286934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 MILL POND DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300823815",
"telephone_number": "586-722-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 JOHNSON FERRY RD STE 125",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682766",
"telephone_number": "770-292-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "TYLER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-04",
"last_updated": "2025-04-04",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR011134",
"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 Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.