Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derryl S. Dickerson, DC, PTA

Individual provider Physical Therapy Assistant · NPI 1316253107

Derryl S. Dickerson, DC, PTA is a Chiropractic in Marietta, Georgia. Graduated from Life Chiropractic College in 2020, 6 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Trained at
Life Chiropractic College
Licensed in
GA
In the registry since
2010
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2850 Johnson Ferry Rd Ste 150
Marietta, GA 30062-8317
Phone: (770) 518-8786
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3890 Redwine Rd Sw, Atlanta, GA 30331-5582 — (404) 344-7880

Specialties & licences

Rehabilitation Chiropractor (primary) Taxonomy 111NR0400X · Licence CHIR010363 (GA)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA002699 (GA)

Record details

NPI number1316253107
Entity typeIndividual (Type 1)
GenderMale
Credentials DC , PTA
Sole proprietorNo
NPI enumeratedAugust 31, 2010
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marietta