DR. MATTHEW LERANDAL TALLEY D.C.
NPI 1255613410
Chiropractor in Dallas, GA

Active since September 14, 2011
1305 CEDARCREST ROAD SUITE#111, DALLAS, GA 30132(770) 966-5014 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Matthew Lerandal Talley D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW LERANDAL TALLEY D.C. (NPI 1255613410) is an individual chiropractor in Dallas, Georgia, licensed in Georgia (CHIR009342) and active in the NPI registry since September 2011. He is a graduate of Life Chiropractic College (2010).

NPPES Registry Identity

NPI1255613410
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MATTHEW LERANDAL TALLEYCredential: D.C.
Location Address1305 CEDARCREST ROAD SUITE#111Dallas, GA 30132
Mailing Address1305 Cedarcrest Road Suite#111Dallas, GA 30132 · (770) 966-5014
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2010
Enumeration DateSeptember 14, 2011
Last NPPES UpdateAugust 20, 2014
NPI 1255613410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in GA · CHIR009342 Licensed in AL · 2343
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Matthew Lerandal Talley D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173780467
PECOS Enrollment IDI20220925000037

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Talley's NPI number?

The NPI number for Matthew Talley is 1255613410. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Where is Matthew Talley located?

Matthew Talley practices at 1305 Cedarcrest Road Suite#111, Dallas, GA 30132. The listed phone number is (770) 966-5014.

What is Matthew Talley's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Matthew Talley enrolled in Medicare?

Yes. Matthew Talley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Talley was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.