DR. MARISA ANN MIKALS (NPI# 1871619007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871619007 |
| Entity Type | Individual |
| Full Name | DR. MARISA ANN MIKALS |
| Credential | D.C. |
| Practice Address |
4900 Ivey Rd Nw Suite 820 Acworth GA 30101-4001 |
| Mailing Address |
2406 Owens Landing Way Nw Kennesaw GA 30152-6551 |
| Practice Telephone | 7709759233 |
| Mailing Telephone | 7703091816 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 007163 | GA | Chiropractic Providers |
| Street Address |
4900 IVEY RD NW SUITE 820 |
| City | ACWORTH |
| State | GA |
| Zip Code | 30101-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609840511 | Lee Brian Brandt Jr. | Physician Assistant | 4900 Ivey Rd Nw, Suite 1826, Acworth, GA 30101-4001 | 2006-02-15 |
| 1689045353 | Wilma Blake Faulkner | Acupuncturist | 4900 Ivey Rd Nw, Suite 820, Acworth, GA 30101-4001 | 2015-10-07 |
| 1750759247 | Kyle J Payne | Physical Therapist | 4900 Ivey Rd Nw, Suite 1001, Acworth, GA 30101-4001 | 2015-09-14 |
| 1336539402 | Amira Shafey | Family Medicine | 4900 Ivey Rd Nw, Acworth, GA 30101-4001 | 2015-01-28 |
| 1689077562 | Wellstar Medical Group, LLC | Family Medicine | 4900 Ivey Rd Nw, Suite 1301, Acworth, GA 30101-4142 | 2014-10-06 |
| 1215339288 | Mollie Archer | Physical Therapist | 4900 Ivey Rd Nw, Building 1000 Suite 1001, Acworth, GA 30101-4001 | 2014-09-22 |
| 1144645383 | Shaniqua A Wright | Chiropractor | 4900 Ivey Rd Nw, Suite 820, Acworth, GA 30101-4001 | 2014-02-25 |
| 1750621892 | Patricia Helen Creel | Physical Therapist | 4900 Ivey Rd Nw, Suite 1001, Acworth, GA 30101-4001 | 2013-02-27 |
| 1770868531 | Wellstar Cardiovascular Medicine, LLC | Internal Medicine | 4900 Ivey Rd Nw, Bldg 1800 Suite 1801, Acworth, GA 30101-4001 | 2011-10-12 |
| 1720360969 | Maria Danielle Bartlett | Physical Therapist | 4900 Ivey Rd Nw, Suite 1001, Acworth, GA 30101-4001 | 2011-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931552 | A3j Incorporated | Registered Nurse | 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 | 2020-01-22 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1760979595 | Sandra Jeanetta Pugh | Counselor | 118 Clubhouse Crossing, Acworth, GA 30101 | 2018-04-17 |
| 1679926950 | Cindy Hatfield Fruits | Psychologist | 4839 N. Main Street, Acworth, GA 30101 | 2016-07-21 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1366830333 | Willard Hogan IIi | Physician Assistant | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 | 2014-12-29 |
| 1386042083 | Sebastian Diaz Fischer | Chiropractor | 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 | 2014-12-11 |
| 1841699337 | J Chappell Md PC | Dermatology | 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 | 2014-08-20 |
| Find all providers in zip 30101 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800218 | Yolanda F Gutierrez | Chiropractor | 5598 Bells Ferry Rd, Acworth, GA 30102-2526 | 2020-04-24 |
| 1104301167 | Adjusted Development Family Chiropractic, PC | Chiropractor | 4900 Ivey Rd Nw Ste 820, Acworth, GA 30101-4001 | 2018-09-26 |
| 1780107532 | Gladys Martha Crespo-jimenez | Chiropractor | 2502 Thorngate Dr, Acworth, GA 30101-6813 | 2017-07-24 |
| 1255862207 | Jordan Manns | Chiropractor | 3969 S Main St Ste 150, Acworth, GA 30101-5674 | 2017-03-22 |
| 1982051462 | Andrew Payne | Chiropractor | 4500 South Main Street, Suite 104, Acworth, GA 30101-5400 | 2016-05-16 |
| 1649633884 | Brian Callahan | Chiropractor | 3950 Cobb Pkwy Nw Ste 904, Acworth, GA 30101-9525 | 2016-04-04 |
| 1083006498 | Christine Bollinger | Chiropractor | 5008 Amber Way Nw, Acworth, GA 30102-7932 | 2015-02-22 |
| 1164824132 | William Elmore | Chiropractor | 5505 Bells Ferry Rd Bldg 300, Acworth, GA 30102-7527 | 2014-09-22 |
| 1922371913 | Kristina Noel Backenstose | Chiropractor | 3335 Cobb Pkwy Nw Ste 230, Acworth, GA 30101-8361 | 2012-02-22 |
| 1881962942 | Lake City Chiropractic Center | Chiropractor | 4500 Main St. Suite104, Acworth, GA 30101-5400 | 2011-12-05 |
| Find all providers in ACWORTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.