Active NPI
Marilyn L Durden, D.C.
- Chiropractor
- Tyrone, GA
National Provider Identifier
1831274752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5438
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35ZCGLN | Other | GA | CARRIER PROVIDER NUMBER |
Other names 1
- Dr. Marilyn Lalka
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5438 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nexus Chiropractic LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Tyrone, GA
- NPI 1336765924
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.