MUSTARD SEED CHIROPRACTIC
NPI 1689331498
Chiropractor in Smyrna, GA

Active since November 29, 2021
1060 WINDY HILL RD SE STE 209, SMYRNA, GA 30080(770) 756-7741(678) 403-1707 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 7, 2024, Nov 29, 2021 (2 updates tracked since 2021).

About Mustard Seed Chiropractic NPPES

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

MUSTARD SEED CHIROPRACTIC (NPI 1689331498) is a healthcare organization registered as a chiropractor in Smyrna, Georgia and active in the NPI registry since November 2021. The organization lists Jagerran Knight-bryant, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1689331498
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMUSTARD SEED CHIROPRACTIC
Location Address1060 WINDY HILL RD SE STE 209Smyrna, GA 30080-2065
Mailing Address3115 Roswell Rd Ste 204Marietta, GA 30062-7611 · (770) 756-7741
Fax(678) 403-1707
Organization SubpartNo
Authorized OfficialJagerran Knight-bryantCo-owner · (770) 756-7741
Enumeration DateNovember 29, 2021
Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1689331498 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.
1060 WINDY HILL RD SE STE 209, Smyrna, GA 30080

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mustard Seed Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20220222001706Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mustard Seed Chiropractic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1164189908
3115 ROSWELL RD STE 204
Marietta, GA 30062
(770) 756-7741
6.9 mi
Chiropractic
NPI 1982323168
3115 ROSWELL RD STE 204
Marietta, GA 30062
(678) 403-1796
6.9 mi

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 Mustard Seed Chiropractic's NPI number?

The NPI number for Mustard Seed Chiropractic is 1689331498. It was assigned to this organization in the NPPES registry on November 29, 2021.

Where is Mustard Seed Chiropractic located?

Mustard Seed Chiropractic is located at 1060 Windy Hill Rd SE Ste 209, Smyrna, GA 30080. The listed phone number is (770) 756-7741.

What is Mustard Seed Chiropractic's specialty?

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

Is Mustard Seed Chiropractic enrolled in Medicare?

Yes. Mustard Seed Chiropractic is registered in the Medicare PECOS enrollment system.

When is Mustard Seed Chiropractic's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mustard Seed Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Mustard Seed Chiropractic. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mustard Seed Chiropractic was last updated on February 7, 2024. 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.