DR. DUSTY LARGE D.C.
NPI 1396016648
Chiropractor in Macon, GA
About Dr. Dusty Large D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DUSTY LARGE D.C. (NPI 1396016648) is an individual chiropractor in Macon, Georgia, licensed in Georgia (CHIR008931) and active in the NPI registry since January 2012. He is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Dusty Large D.c. 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.
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.
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.
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 Dusty Large's NPI number?
The NPI number for Dusty Large is 1396016648. It was assigned to this individual provider in the NPPES registry on January 18, 2012.
Where is Dusty Large located?
Dusty Large practices at 4931 Riverside Dr Ste 300A, Macon, GA 31210. The listed phone number is (478) 257-6114.
What is Dusty Large's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Dusty Large enrolled in Medicare?
Yes. Dusty Large 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 Dusty Large accept?
Health plans from Providence Health Plan list Dusty Large 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 Dusty Large was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Dusty Large, D.C. · NPI 1396016648
Chiropractor provider in Macon, Georgia. Individual provider, active in the CMS NPPES registry since January 18, 2012.
## Identity
- **NPI:** 1396016648 (Entity type: Individual)
- **Enumerated:** January 18, 2012
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CHIR008931 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4931 RIVERSIDE DR STE 300A, Macon, GA 31210-1168
- **Phone:** (478) 257-6114 · **Fax:** (478) 238-5415
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** December 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396016648) · Data from the CMS NPPES public registry.