Individual provider Active NPI

Marilyn L Durden, D.C.

  • Chiropractor
  • Tyrone, GA
National Provider Identifier
1831274752
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5438 Issued in GA
Practice address
120 Handley Rd
Suite 220
Tyrone, GA 30290-2177
Phone
(770) 631-7600
Fax
(770) 774-0122
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5438 GA Primary

Addresses

Primary practice location

120 Handley Rd
Suite 220
Tyrone, GA 30290-2177

Mailing address

PO Box 142216
Fayetteville, GA 30214-6511
Phone (770) 631-7600

Other identifiers 1

IdentifierTypeStateIssuer
35ZCGLNOtherGACARRIER PROVIDER NUMBER

Other names 1

  • Dr. Marilyn Lalka Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5438GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Chiropractic LLC Chiropractor CurrentSince Jun 21, 2020 Accepting new patients

Locations

120 Handley Rd
Ste 220
Tyrone, GA 30290
Phone (770) 631-7600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1831274752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142216",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302146511",
            "telephone_number": "770-631-7600",
            "fax_number": "770-774-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HANDLEY RD",
            "address_2": "SUITE 220",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902177",
            "telephone_number": "770-631-7600",
            "fax_number": "770-774-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURDEN",
        "first_name": "MARILYN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARRIER PROVIDER NUMBER",
            "identifier": "35ZCGLN",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "LALKA",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tyrone, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.