Douglas B Pettit, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010942 Issued in GA

Practice address

3417 Canton Rd Ste 301
Marietta, GA 30066-2896

Phone

(770) 424-5551

NPI assigned

Jan 26, 2023

Last updated

Feb 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialty

Chiropractic

Education

Life Chiropractic College, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bi-County Chiropractic and Rehab LLC

  • Chiropractor
  • Marietta, GA
  • NPI 1740986454
  Medicare reassignment NPD Authorized official
• Casey Chiropractic LLC

  dba Clay County Chiropractic

  • Chiropractor
  • Ashland, AL
  • NPI 1942582960
  NPD (past)

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1932815610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 CANTON RD STE 301",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662896",
            "telephone_number": "770-424-5551",
            "fax_number": "770-424-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 CANTON RD STE 301",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662896",
            "telephone_number": "770-424-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Henning Peterson, PHARM.D.
• Sierra Peterson
• Cynthia Petrella, APRN
• Karen Marise Petrella, DDS
• Michael Petrosky, MD
• Jonathan David Pewitt, M.D.
• Aidiem Pham
• Loc B Pham, MD
• Robert V Pham, MD
• Christy Phan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.