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DYNAMIC SPINE AND SPORTS THERAPY
NPI 1659629723
Chiropractor in Kennesaw, GA

Active since August 21, 2012
3400 BLUE SPRINGS RD NW, SUITE 100, KENNESAW, GA 30144(678) 674-5430 Get Directions Write a Review

NPPES record last updated: August 21, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dynamic Spine And Sports Therapy NPPES

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

DYNAMIC SPINE AND SPORTS THERAPY (NPI 1659629723) is a healthcare organization registered as a chiropractor in Kennesaw, Georgia and active in the NPI registry since August 2012. The organization lists Jered Michael Hull, Member, as its authorized official.

NPPES Registry Identity

NPI1659629723
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDYNAMIC SPINE AND SPORTS THERAPY
Location Address3400 BLUE SPRINGS RD NW, SUITE 100Kennesaw, GA 30144-1079
Mailing Address3400 Blue Springs Rd Nw, Suite 100Kennesaw, GA 30144-1079 · (678) 674-5430
Phone(678) 674-5430
Organization SubpartNo
Authorized OfficialJered Michael HullMember · (678) 674-5430
Enumeration DateAugust 21, 2012
✔ NPI 1659629723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · 055355792
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.
3400 BLUE SPRINGS RD NW, Kennesaw, GA 30144
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dynamic Spine And Sports Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dynamic Spine And Sports Therapy, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jered Hull, DC, ATC, LAT
Chiropractic
NPI 1841439304
3400 BLUE SPRINGS RD NW STE 100
Kennesaw, GA 30144
(678) 574-5430
Same address
Bailee Mims, DC
Chiropractic
NPI 1881384527
3400 BLUE SPRINGS RD NW STE 100
Kennesaw, GA 30144
(678) 574-5430
Same 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 Dynamic Spine And Sports Therapy's NPI number?

The NPI number for Dynamic Spine And Sports Therapy is 1659629723. It was assigned to this organization in the NPPES registry on August 21, 2012.

Where is Dynamic Spine And Sports Therapy located?

Dynamic Spine And Sports Therapy is located at 3400 Blue Springs Rd NW Suite 100, Kennesaw, GA 30144. The listed phone number is (678) 674-5430.

What is Dynamic Spine And Sports Therapy's specialty?

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

Is Dynamic Spine And Sports Therapy enrolled in Medicare?

Yes. Dynamic Spine And Sports Therapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dynamic Spine And Sports Therapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Dynamic Spine And Sports Therapy. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dynamic Spine And Sports Therapy was last updated on August 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.