Marita Thompson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO10792 Issued in GA

Practice address

1670 McKendree Church Rd Ste 400B
Lawrenceville, GA 30043-4100

Phone

(706) 414-2622

NPI assigned

Mar 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Advanced Chiropractic Clinic PC

  • Chiropractor
  • Loganville, GA
  • NPI 1326053869
  NPD

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1972204832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 SHORESIDE CIR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 MCKENDREE CHURCH RD STE 400B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434100",
            "telephone_number": "706-414-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARITA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14172",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO10792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Thompson, BA, CCC-SLP
• Derrick Thompson
• Eboni Nicole Thompson
• Ima S Thompson, MD
• Kenysha Doyen Thompson
• Melody Thompson, LPC, NCC, BCCC
• Sara Thompson
• Sara R Thompson, PT, DPT
• Savannah Thompson
• Stephen Thompson, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.