1. Home
  2. Directory
  3. Georgia
  4. Marietta
  5. Chiropractor
  6. NPI Profile

DERRYL S. DICKERSON DC, PTA
NPI 1316253107
Chiropractor - Rehabilitation in Marietta, GA

Active since August 31, 2010Accepts Medicare Assignment
2850 JOHNSON FERRY RD STE 150, MARIETTA, GA 30062(770) 518-8786 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derryl S. Dickerson Dc, Pta NPPES

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

DERRYL S. DICKERSON DC, PTA (NPI 1316253107) is an individual rehabilitation provider in Marietta, Georgia, licensed in Georgia (CHIR010363) and active in the NPI registry since August 2010. He maintains a secondary practice location in Atlanta and is a graduate of Life Chiropractic College (2020).

NPPES Registry Identity

NPI1316253107
Entity TypeIndividualMale
Primary Taxonomy111NR0400X
Provider Legal NameDERRYL S. DICKERSONCredential: DC, PTA
Location Address2850 JOHNSON FERRY RD STE 150Marietta, GA 30062-8317
Mailing Address1720 Windcliff Dr SeMarietta, GA 30067-3801 · (256) 225-0495
Phone(770) 518-8786
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2020
Enumeration DateAugust 31, 2010
Last NPPES UpdateMay 21, 2020
NPPES CertifiedMay 21, 2020
✔ NPI 1316253107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License✔ Licensed in GA · CHIR010363
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License PTA002699 (GA)
2850 JOHNSON FERRY RD STE 150, Marietta, GA 30062
Open in Google Maps ↗

Secondary Practice Location 1

Location 13890 Redwine Rd SW, Suite 114Atlanta, GA 30331-5582 · Phone (404) 344-7880 · Fax (404) 344-7881

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derryl S. Dickerson Dc, Pta is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517387657
PECOS Enrollment IDI20201012001942

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
291 services11 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIDGE CHIROPRACTIC AND REHABILITATION LLC
Chiropractor
2850 JOHNSON FERRY RD STE 150
MARIETTA, GA 30062
Cobb County (770) 518-8786
DR. FABIOLA ALEJANDRA VELEZ COLON DC
Chiropractor
2850 JOHNSON FERRY RD STE 150
MARIETTA, GA 30062
Cobb County (770) 518-8786

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 Derryl Dickerson's NPI number?

The NPI number for Derryl Dickerson is 1316253107. It was assigned to this individual provider in the NPPES registry on August 31, 2010.

Where is Derryl Dickerson located?

Derryl Dickerson practices at 2850 Johnson Ferry Rd Ste 150, Marietta, GA 30062. The listed phone number is (770) 518-8786.

What is Derryl Dickerson's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Derryl Dickerson enrolled in Medicare?

Yes. Derryl Dickerson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Derryl Dickerson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Derryl Dickerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derryl Dickerson was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.