Derryl S. Dickerson, DC, PTA
Rehabilitation Chiropractor · Marietta, GA
Derryl S. Dickerson, DC, PTA is a rehabilitation chiropractor with a practice address in Marietta, Georgia, and NPI 1316253107, issued on Aug 31, 2010. Check the license (Georgia CHIR010363, as entered in NPPES) with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Derryl S. Dickerson
- Credential
- DC, PTA
- Primary taxonomy
- Rehabilitation Chiropractor 111NR0400X
- License numbers
- CHIR010363 GA
PTA002699 GA
Self-reported in NPPES; status is on the state search - Practice location
- 2850 Johnson Ferry RD Ste 150, Marietta, GA 30062
- Phone
- (770) 518-8786
- Enumerated
- Aug 31, 2010
- Record last updated
- May 21, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20201012001942); accepts Medicare assignment
- Medical or professional school
- Life Chiropractic College, 2020
- Entity
- Type 1 · individual
8 nearest rehabilitation chiropractor records → All 102 in Georgia → Look up another NPI →
Also registered at 2850 Johnson Ferry RD Ste 150
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Fabiola Velez Colon, DCChiropractor1962139550
Verify Derryl S. Dickerson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license CHIR010363Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Derryl S. Dickerson among 102 rehabilitation chiropractor records in Georgia
Derryl S. Dickerson, DC, PTA is one of 102 rehabilitation chiropractor records with a practice address in Georgia. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2010, is newer than 72% of them.
- NPI issued2010 · 72% of these records are older, 25% newer
- In a Medicare fileNo · 9% of these records are
- In the CMS Doctors and Clinicians fileYes · 25% of these records are
- Graduated2020 · median 2003 among the 26 with a school on file
- Record last updated2020 · 92% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 111NR0400X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Rehabilitation Chiropractor providers in Georgia
There are 102 rehabilitation chiropractor records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 102 in Georgia → Every provider in Marietta → Rehabilitation Chiropractor nationwide →
The 8 rehabilitation chiropractor records with the nearest ZIP codes
- Sharon Graddy, D.C.Marietta, GA 300621770770992
- Gwendolyn Tutt, D.C.Marietta, GA 300621023224763
- Kenneth Weiner, D.C.Marietta, GA 300621093834616
- Mitchell Arnold, D.C.Marietta, GA 300641407983885
- Joseph Haezebrouck, D.C.Marietta, GA 300661881770188
- Meirav Ertle, DCMarietta, GA 300671821174574
- Thaddeus Layton, D.C.Marietta, GA 300671396875449
- Chirag Patel, D.C.Norcross, GA 300711114096328
Common questions
What is Derryl S. Dickerson, DC, PTA's NPI number?
Derryl S. Dickerson, DC, PTA's National Provider Identifier (NPI) is 1316253107, issued on Aug 31, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Derryl S. Dickerson, DC, PTA located?
The NPPES record lists a practice address at 2850 Johnson Ferry RD Ste 150, Marietta, GA, 30062. Phone: (770) 518-8786. Providers update this record themselves, so call before visiting.
How can I verify Derryl S. Dickerson, DC, PTA's license?
NPPES lists Georgia license number CHIR010363, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.