Individual provider Active NPI

Luckana Chaya, MD

  • Neuromusculoskeletal Medicine & OMM Physician
  • Marietta, GA
National Provider Identifier
1891756326
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
16460 Issued in GA
Practice address
3625 Sope Creek Farm SE
Marietta, GA 30067-5175
Phone
(770) 952-9088
Fax
(770) 952-9088
NPI assigned
Apr 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 16460 GA Primary

Addresses

Primary practice location

3625 Sope Creek Farm SE
Marietta, GA 30067-5175

Mailing address

3625 Sope Creek Farm SE
Marietta, GA 30067-5175
Phone (770) 952-9088

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16460GAMDNeuromusculoskeletal Medicine & OMM Physician

NPI Registry JSON

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

{
    "created_epoch": "1143936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891756326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 SOPE CREEK FARM SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675175",
            "telephone_number": "770-952-9088",
            "fax_number": "770-952-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 SOPE CREEK FARM SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675175",
            "telephone_number": "770-952-9088",
            "fax_number": "770-952-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAYA",
        "first_name": "LUCKANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "GA",
            "license": "16460",
            "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 Jul 13, 2026; 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.