DR. RICHARD JOHN DE CARLO (D.C.) – Sports Physician Chiropractor, NPI 1538216924

DR. RICHARD JOHN DE CARLO (D.C.) is a healthcare provider. based in Smyrna, Georgia. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 4813 (GA). The NPI Number for DR. RICHARD JOHN DE CARLO (D.C.) is 1538216924

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD JOHN DE CARLO (D.C.)
NPI
1538216924
Phone
(404) 794-4357
Address
4686 S ATLANTA RD SE
Enumeration Date
5 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE
Secondary Phone
7707926100
Graduation Year
1991 (35 years ago)
PAC ID
1355493180
Group Practice PAC ID
7214927284
Professional Enrollment ID
I20090709000033
Address ID
GA300602943MA1415XSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,115 CHIROPRACTIC in GA

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Provider Addresses for DR. RICHARD JOHN DE CARLO (D.C.)

  • Atlanta Road Southeast, Smyrna, Cobb, Georgia, 30080, United States

    SUITE G

    SMYRNA, GA 300807080

    Phone: (404) 794-4357

    Fax: (404) 794-8205

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090709000033IChiropracticGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions15112$0
View full utilization report →

Insurance plans in this area (ZIP 30080)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214927284View full group profile
NameSpecialtyState
C H I R O P R A C T I CSC
C H I R O P R A C T I CAL
C H I R O P R A C T I CCO
C H I R O P R A C T I CGA
C H I R O P R A C T I CGA
C H I R O P R A C T I CGA
C H I R O P R A C T I CGA
C H I R O P R A C T I CCO
C H I R O P R A C T I CGA
C H I R O P R A C T I CGA

Reviews

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Frequently asked questions

How do I look up DR. RICHARD JOHN DE CARLO (D.C.) by NPI?
Use NPI 1538216924 when you need to reference DR. RICHARD JOHN DE CARLO (D.C.) in forms, claims, or directories.
Is DR. RICHARD JOHN DE CARLO (D.C.)'s NPI currently valid?
The extract we use shows DR. RICHARD JOHN DE CARLO (D.C.) as active.
Does DR. RICHARD JOHN DE CARLO (D.C.) list a primary specialty?
If you are matching referrals, note Sports Physician Chiropractor for DR. RICHARD JOHN DE CARLO (D.C.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. RICHARD JOHN DE CARLO (D.C.)?
The snapshot lists Smyrna, Georgia for DR. RICHARD JOHN DE CARLO (D.C.); download NPPES for the complete set.
Is DR. RICHARD JOHN DE CARLO (D.C.) a real provider?
This page reflects official NPPES data for NPI 1538216924. Always confirm identity and privileges with the practice and licensing boards.

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