100 CHIRO BURRELL PC
NPI 1619703386
Chiropractor in Decatur, GA

Active since September 10, 2024
1605 CHURCH ST STE 665, DECATUR, GA 30033(404) 343-3304 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2024, Sep 10, 2024 (2 updates tracked since 2024).

About 100 Chiro Burrell Pc NPPES

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

100 CHIRO BURRELL PC (NPI 1619703386) is a healthcare organization registered as a chiropractor in Decatur, Georgia and active in the NPI registry since September 2024. The organization lists Ricardo Burrell, Manager, as its authorized official.

NPPES Registry Identity

NPI1619703386
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business Name100 CHIRO BURRELL PC
Location Address1605 CHURCH ST STE 665Decatur, GA 30033-6074
Mailing Address1605 Church St Ste 665Decatur, GA 30033-6074
Organization SubpartNo
Authorized OfficialRicardo BurrellManager · (404) 343-3304
Enumeration DateSeptember 10, 2024
Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1619703386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1605 CHURCH ST STE 665, Decatur, GA 30033

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

100 Chiro Burrell Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 100 Chiro Burrell PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1609697713
1605 CHURCH ST STE 665
Decatur, GA 30033
(404) 343-3304
✔ Accepts MedicareSame address

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 100 Chiro Burrell PC's NPI number?

The NPI number for 100 Chiro Burrell PC is 1619703386. It was assigned to this organization in the NPPES registry on September 10, 2024.

Where is 100 Chiro Burrell PC located?

100 Chiro Burrell PC is located at 1605 Church St Ste 665, Decatur, GA 30033. The listed phone number is (404) 343-3304.

What is 100 Chiro Burrell PC's specialty?

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

Is 100 Chiro Burrell PC enrolled in Medicare?

Yes. 100 Chiro Burrell PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 100 Chiro Burrell PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to 100 Chiro Burrell PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does 100 Chiro Burrell PC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list 100 Chiro Burrell PC 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 100 Chiro Burrell PC was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.