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CHIROPRACTIC CARE OF MARIETTA SQUARE
NPI 1760674980
Chiropractor in Marietta, GA

Active since August 11, 2007
487 ROSWELL ST NE, MARIETTA, GA 30060(770) 428-4656(770) 428-4956 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chiropractic Care Of Marietta Square NPPES

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

CHIROPRACTIC CARE OF MARIETTA SQUARE (NPI 1760674980) is a healthcare organization registered as a chiropractor in Marietta, Georgia and active in the NPI registry since August 2007. The organization lists Trent Alan Brumbaugh, Owner, as its authorized official.

NPPES Registry Identity

NPI1760674980
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMARIETTA SQUARE CHIROPRACTIC, INC.
Location Address487 ROSWELL ST NEMarietta, GA 30060-2066
Mailing Address487 Roswell St NeMarietta, GA 30060-2066 · (770) 428-4656
Phone(770) 428-4656
Fax(770) 428-4956
Organization SubpartNo
Authorized OfficialTrent Alan BrumbaughOwner · (672) 472-6262
Enumeration DateAugust 11, 2007
Last NPPES UpdateApril 25, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1760674980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · 6957
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.
487 ROSWELL ST NE, Marietta, GA 30060
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Other Names 1

Doing Business AsChiropractic Care Of Marietta Square

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)

Chiropractic Care Of Marietta Square 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 Chiropractic Care Of Marietta Square, which bills Medicare for the services this clinician delivers.

Clinician (1)

Trent Brumbaugh, D.C.
Chiropractic
NPI 1861577116
487 ROSWELL ST NE
Marietta, GA 30060
(770) 428-4656
✔ Accepts MedicareSame 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 Marietta Square Chiropractic, Inc.'s NPI number?

The NPI number for Marietta Square Chiropractic, Inc. is 1760674980. It was assigned to this organization in the NPPES registry on August 11, 2007. The provider is doing business as Chiropractic Care Of Marietta Square.

Where is Marietta Square Chiropractic, Inc. located?

Marietta Square Chiropractic, Inc. is located at 487 Roswell St NE, Marietta, GA 30060. The listed phone number is (770) 428-4656.

What is Marietta Square Chiropractic, Inc.'s specialty?

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

Is Marietta Square Chiropractic, Inc. enrolled in Medicare?

Yes. Marietta Square Chiropractic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marietta Square Chiropractic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Marietta Square Chiropractic, Inc.. 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 Marietta Square Chiropractic, Inc. was last updated on April 25, 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.