MCCULLY ATLAS SPINAL CARE CHIROPRACTIC, P.C.
NPI 1730631268
Chiropractor in Santa Rosa, CA

Q: What is Mccully Atlas Spinal Care Chiropractic, P.C.'s specialty?

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

Active since November 01, 2016

4655 HOEN AVE, SUITE 8, SANTA ROSA, CA 95405(707) 568-6900 Get Directions Write a Review

NPPES record last updated: November 1, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mccully Atlas Spinal Care Chiropractic, P.c. NPPES

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

MCCULLY ATLAS SPINAL CARE CHIROPRACTIC, P.C. (NPI 1730631268) is a healthcare organization registered as a chiropractor in Santa Rosa, California and active in the NPI registry since November 2016. The organization lists Lucas Mccully, President, as its authorized official.

NPPES Registry Identity

NPI1730631268

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameMCCULLY ATLAS SPINAL CARE CHIROPRACTIC, P.C.

Location Address4655 HOEN AVE, SUITE 8Santa Rosa, CA 95405-7800

Mailing Address4655 Hoen Ave, Suite 8Santa Rosa, CA 95405-7800 · (707) 568-6900

Phone(707) 568-6900

Organization SubpartNo

Authorized OfficialLucas MccullyPresident · (707) 568-6900

Enumeration DateNovember 1, 2016

✔ NPI 1730631268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC31489

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.

4655 HOEN AVE, Santa Rosa, CA 95405

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mccully Atlas Spinal Care Chiropractic, P.c. 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 Mccully Atlas Spinal Care Chiropractic, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Lucas Mccully, DC

Chiropractic

NPI 1154567659

820 E TERRA COTTA AVE STE 144
Crystal Lake, IL 60014

(815) 526-3658

✔ Accepts Medicare1,821 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 Mccully Atlas Spinal Care Chiropractic, P.C.'s NPI number?

The NPI number for Mccully Atlas Spinal Care Chiropractic, P.C. is 1730631268. It was assigned to this organization in the NPPES registry on November 1, 2016.

Where is Mccully Atlas Spinal Care Chiropractic, P.C. located?

Mccully Atlas Spinal Care Chiropractic, P.C. is located at 4655 Hoen Ave Suite 8, Santa Rosa, CA 95405. The listed phone number is (707) 568-6900.

What is Mccully Atlas Spinal Care Chiropractic, P.C.'s specialty?

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

Is Mccully Atlas Spinal Care Chiropractic, P.C. enrolled in Medicare?

Yes. Mccully Atlas Spinal Care Chiropractic, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mccully Atlas Spinal Care Chiropractic, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Mccully Atlas Spinal Care Chiropractic, P.C.. 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.

When was this NPI record last updated?

The NPPES record for Mccully Atlas Spinal Care Chiropractic, P.C. was last updated on November 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.