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DR. MARY DEARBORN DC
NPI 1376192351
Chiropractor in College Park, GA

Active since September 11, 2019
2300 CAMP CREEK PKWY STE 200, COLLEGE PARK, GA 30337(678) 666-4088 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 22, 2023, Sep 11, 2019 (2 updates tracked since 2019).

About Dr. Mary Dearborn Dc NPPES

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

DR. MARY DEARBORN DC (NPI 1376192351) is an individual chiropractor in College Park, Georgia, licensed in Georgia (CHIR010182) and active in the NPI registry since September 2019. She maintains 2 additional practice locations and is a graduate of Life Chiropractic College (2018).

NPPES Registry Identity

NPI1376192351
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARY DEARBORNCredential: DC
Location Address2300 CAMP CREEK PKWY STE 200College Park, GA 30337-3313
Mailing Address4824 Howard DrPowder Springs, GA 30127-3044 · (734) 818-9341
Phone(678) 666-4088
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2018
Enumeration DateSeptember 11, 2019
Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
✔ NPI 1376192351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in GA · CHIR010182✔ Licensed in GA · CHIRO10182
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.
2300 CAMP CREEK PKWY STE 200, College Park, GA 30337
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Secondary Practice Locations 2

Location 1595 Roswell St NEMarietta, GA 30060-8218 · Phone (734) 818-9341
Location 24466 Rockbridge RdStone Mountain, GA 30083-4254 · Phone (404) 297-7639 · Fax (404) 296-5616

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Dearborn Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729548292
PECOS Enrollment IDI20260903001779

Medicare Billing Reassignment

Medicare enrollment records show Mary Dearborn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Zinnen Chiropractic PLLC
573 mi
Chiropractor
2100 S CUSTER RD
Monroe, MI 48161
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1881714038 (734) 241-4500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mary Dearborn's NPI number?

The NPI number for Mary Dearborn is 1376192351. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Mary Dearborn located?

Mary Dearborn practices at 2300 Camp Creek Pkwy Ste 200, College Park, GA 30337. The listed phone number is (678) 666-4088.

What is Mary Dearborn's specialty?

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

Is Mary Dearborn enrolled in Medicare?

Yes. Mary Dearborn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Dearborn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Dearborn reassigns Medicare benefits to Zinnen Chiropractic PLLC (Monroe, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Dearborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Dearborn accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mary Dearborn 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 Mary Dearborn was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.