DR. MITCHEL L. THACKER D.C.
NPI 1710059498
Chiropractor in Conyers, GA

Active since November 15, 2006Accepts Medicare Assignment
1815 HIGHWAY 138 SE, SUITE 600, CONYERS, GA 30013(770) 860-8333(770) 860-8833 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mitchel L. Thacker D.c. NPPES

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

DR. MITCHEL L. THACKER D.C. (NPI 1710059498) is an individual chiropractor in Conyers, Georgia, licensed in Georgia (CHIR002342) and active in the NPI registry since November 2006. He is affiliated with Piedmont Rockdale Hospital and is a graduate of Life Chiropractic College (1983).

NPPES Registry Identity

NPI1710059498
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MITCHEL L. THACKERCredential: D.C.
Location Address1815 HIGHWAY 138 SE, SUITE 600Conyers, GA 30013-2079
Mailing Address2575 Abbey Ridge Rd SwConyers, GA 30094-3459 · (770) 860-8333 · Fax (770) 860-8833
Fax(770) 860-8833
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 1983
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1710059498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in GA · CHIR002342
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.
1815 HIGHWAY 138 SE, Conyers, GA 30013

Other Identifiers 2

Medicare ID-Type Unspecified35ZCCPWGA · Medicare Provider Number
Medicare UPINU22579GA

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. Mitchel L. Thacker 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.

PECOS PAC ID5496859399
PECOS Enrollment IDI20130624000549

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.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
164 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

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.

Chiropractor
1815 HIGHWAY 138 SE, SUITE 600
CONYERS, GA 30013
Chiropractor
1815 HIGHWAY 138 SE, SUITE 600
CONYERS, GA 30013
Podiatrist (Foot & Ankle Surgery)
1815 HIGHWAY 138 SE, SUITE 600
CONYERS, GA 30013

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 Mitchel Thacker's NPI number?

The NPI number for Mitchel Thacker is 1710059498. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Mitchel Thacker located?

Mitchel Thacker practices at 1815 Highway 138 SE Suite 600, Conyers, GA 30013. The listed phone number is (770) 860-8333.

What is Mitchel Thacker's specialty?

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

Is Mitchel Thacker enrolled in Medicare?

Yes. Mitchel Thacker 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 Mitchel Thacker accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Mitchel Thacker 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.

Is Mitchel Thacker affiliated with any hospitals?

According to CMS data, Mitchel Thacker is affiliated with Piedmont Rockdale Hospital.

When was this NPI record last updated?

The NPPES record for Mitchel Thacker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.