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DR. STEPHENIE DALLAS DC
NPI 1396690491
Chiropractor in Norcross, GA

Active since March 03, 2026
1568 INDIAN TRAIL LILBURN RD STE 105, NORCROSS, GA 30093(770) 696-2404 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stephenie Dallas Dc NPPES

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

DR. STEPHENIE DALLAS DC (NPI 1396690491) is an individual chiropractor in Norcross, Georgia, licensed in Georgia (CHIR011355) and active in the NPI registry since March 2026. She is a graduate of Life Chiropractic College (2024).

NPPES Registry Identity

NPI1396690491
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. STEPHENIE DALLASCredential: DC
Location Address1568 INDIAN TRAIL LILBURN RD STE 105Norcross, GA 30093-2699
Mailing Address1568 Indian Trail Lilburn Rd Ste 105Norcross, GA 30093-2699 · (770) 696-2404
Phone(770) 696-2404
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2024
Enumeration DateMarch 3, 2026
NPPES CertifiedMarch 3, 2026
✔ NPI 1396690491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR011355
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.
1568 INDIAN TRAIL LILBURN RD STE 105, Norcross, GA 30093
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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. Stephenie Dallas Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284100421
PECOS Enrollment IDI20260416003698

Other Providers at the Same Location NPPES 3

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

INJURY AND REHAB CENTERS OF GEORGIA, LLC
Chiropractor
1568 INDIAN TRAIL LILBURN RD STE 105
NORCROSS, GA 30093
Gwinnett County (770) 696-2404
DR. JUWAN MARTEZ MCCALL DC
Chiropractor
1568 INDIAN TRAIL LILBURN RD STE 105
NORCROSS, GA 30093
Gwinnett County (770) 696-2404
MAXLIVING NORCROSS LLC
Chiropractor
1568 INDIAN TRAIL LILBURN RD STE 105
NORCROSS, GA 30093
Gwinnett County (770) 696-2404

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 Stephenie Dallas's NPI number?

The NPI number for Stephenie Dallas is 1396690491. It was assigned to this individual provider in the NPPES registry on March 3, 2026.

Where is Stephenie Dallas located?

Stephenie Dallas practices at 1568 Indian Trail Lilburn Rd Ste 105, Norcross, GA 30093. The listed phone number is (770) 696-2404.

What is Stephenie Dallas's specialty?

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

Is Stephenie Dallas enrolled in Medicare?

Yes. Stephenie Dallas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephenie Dallas was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.