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FULFILLMENT CHIROPRACTIC, LLC
NPI 1912862350
Chiropractor in Marietta, GA

Active since December 18, 2025
3901 MARY ELIZA TRCE NW STE 201, MARIETTA, GA 30064(215) 694-4831 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2026, Apr 14, 2026, Jan 19, 2026 and 2 more (5 updates tracked since 2025).

About Fulfillment Chiropractic, Llc NPPES

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

FULFILLMENT CHIROPRACTIC, LLC (NPI 1912862350) is a healthcare organization registered as a chiropractor in Marietta, Georgia and active in the NPI registry since December 2025. The organization lists Scott Willis Mccormick, President, as its authorized official.

NPPES Registry Identity

NPI1912862350
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFULFILLMENT CHIROPRACTIC, LLC
Location Address3901 MARY ELIZA TRCE NW STE 201Marietta, GA 30064-1096
Mailing Address1411 Trees Of Kennesaw Pkwy NwKennesaw, GA 30152-7658 · (215) 694-4831
Phone(215) 694-4831
Organization SubpartNo
Authorized OfficialScott Willis MccormickPresident · (215) 694-4831
Enumeration DateDecember 18, 2025
Last NPPES UpdateJuly 10, 20265 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1912862350 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.
3901 MARY ELIZA TRCE NW STE 201, Marietta, GA 30064
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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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fulfillment Chiropractic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Scott Mccormick, DC
Chiropractic
NPI 1467566570
3901 MARY ELIZA TRCE NW STE 201
Marietta, GA 30064
(215) 694-4831
✔ Accepts MedicareSame address
Rosemary Depasque, D.C.
Chiropractic
NPI 1952677007
1031 YORK RD
Willow Grove, PA 19090
(215) 657-3200
678 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 Fulfillment Chiropractic, LLC's NPI number?

The NPI number for Fulfillment Chiropractic, LLC is 1912862350. It was assigned to this organization in the NPPES registry on December 18, 2025.

Where is Fulfillment Chiropractic, LLC located?

Fulfillment Chiropractic, LLC is located at 3901 Mary Eliza Trce NW Ste 201, Marietta, GA 30064. The listed phone number is (215) 694-4831.

What is Fulfillment Chiropractic, LLC's specialty?

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

Is Fulfillment Chiropractic, LLC enrolled in Medicare?

Yes. Fulfillment Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fulfillment Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Fulfillment Chiropractic, LLC. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fulfillment Chiropractic, LLC was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.