Derryl Dickerson, DC, PTA
Derryl Dickerson, DC, PTA is a provider specialising in Rehabilitation Chiropractor in Marietta, GA, registered under NPI 1316253107. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 2850 JOHNSON FERRY RD STE 150, Marietta, GA 30062. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| CHIR010363 | GA | Rehabilitation Chiropractor primary |
| PTA002699 | GA | Physical Therapy Assistant |
This provider holds licence CHIR010363 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Chiropractic
- PAC ID
- 7517387657
- Enrollment ID
- I20201012001942
Medicare enrolment is recorded as approved under the provider type Practitioner - Chiropractic. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Rehabilitation covers
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. NUCC Health Care Provider Taxonomy, code 111NR0400X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 111NR0400X | Rehabilitation Chiropractor Rehabilitation | CHIR010363 | GA | primary |
| 225200000X | Physical Therapy Assistant | PTA002699 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1316253107 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 31, 2010 |
| Last updated | May 21, 2020 |
| Status | Active |
| Sole proprietor | No |
| Credential | DC, PTA |
| Practice address |
2850 JOHNSON FERRY RD STE 150 Marietta, GA 30062 (770) 518-8786 |
| Mailing address |
1720 WINDCLIFF DR SE Marietta, GA 30067 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 1 | 6 | 2 | 5 | 3 | 1 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 2 | 6 | 4 | 5 | 6 | 1 | 0 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.