Jesse Elijah McCord, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR011320 Issued in GA

Practice address

1927 Highway 138 NE Ste 500
Conyers, GA 30013-1254

Phone

(770) 860-8333

NPI assigned

Jan 29, 2025

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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Thacker Chiropractic Clinic, LLC

  • Chiropractor
  • Conyers, GA
  • NPI 1255489712
  Medicare reassignment NPD
• Prime Spine Enterprises

  • Chiropractor
  • Conyers, GA
  • NPI 1326903006
  NPD

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1871306365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 DORCHESTER DR SE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300143137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 HIGHWAY 138 NE STE 500",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131254",
            "telephone_number": "770-860-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "JESSE",
        "middle_name": "ELIJAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Claire McCarthy
• Shawn McCastle
• Christopher James McClendon, LAPC
• McCollum Dental LLC
• David McCollum, DMD
• Darmoye Celeste McCorley
• Patricia (Patsy) McDaniel, M.ED., LPC, NCC
• Christopher McDonald
• Elizabeth Ann McElmurry, PA-C
• Kamilah McFarlane

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.