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DR. BLAKELEY R DERRICK DC
NPI 1750440053
Chiropractor in Calhoun, GA

Active since December 06, 2006Accepts Medicare Assignment
127 WC BRYANT PKWY, STE A, CALHOUN, GA 30701(706) 629-4999(706) 629-4799 Get Directions Write a Review

NPPES record last updated: April 1, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Blakeley R Derrick Dc NPPES

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

DR. BLAKELEY R DERRICK DC (NPI 1750440053) is an individual chiropractor in Calhoun, Georgia, licensed in Georgia (CHIR007201) and active in the NPI registry since December 2006. He is a graduate of Life Chiropractic College (2000).

NPPES Registry Identity

NPI1750440053
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BLAKELEY R DERRICKCredential: DC
Location Address127 WC BRYANT PKWY, STE ACalhoun, GA 30701-2654
Mailing Address127 Wc Bryant Pkwy, Ste ACalhoun, GA 30701-2654 · (706) 629-4999 · Fax (706) 629-4799
Phone(706) 629-4999
Fax(706) 629-4799
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2000
Enumeration DateDecember 6, 2006
Last NPPES UpdateApril 1, 2011
✔ NPI 1750440053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR007201
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.
127 WC BRYANT PKWY, Calhoun, GA 30701
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Other Identifiers 2

Medicare ID-Type Unspecified35ZCHCX
Medicare UPINU93851

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Blakeley R Derrick Dc 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 ID9032201132
PECOS Enrollment IDI20110309000015

Medicare Billing Reassignment

Medicare enrollment records show Blakeley Derrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adairsville Chiropractic Center
1.4 mi
Chiropractor
150 JW PLAZA DR SE
Calhoun, GA 30701
  • Reassigned Medicare billing, Georgia enrollment
NPI 1902012396 (706) 629-4999

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 Blakeley Derrick's NPI number?

The NPI number for Blakeley Derrick is 1750440053. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Blakeley Derrick located?

Blakeley Derrick practices at 127 Wc Bryant Pkwy Ste A, Calhoun, GA 30701. The listed phone number is (706) 629-4999.

What is Blakeley Derrick's specialty?

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

Is Blakeley Derrick enrolled in Medicare?

Yes. Blakeley Derrick 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.

Which organization bills Medicare for Blakeley Derrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blakeley Derrick reassigns Medicare benefits to Adairsville Chiropractic Center (Calhoun, GA). The 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 Blakeley Derrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blakeley Derrick accept?

Health plans from Alliant Health Plans, Inc. list Blakeley Derrick 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 Blakeley Derrick was last updated on April 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.