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

Dr. Dusty Large, DC

Individual provider Chiropractor · NPI 1396016648

Dr. Dusty Large, DC is a Chiropractic in Macon, Georgia. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Licensed in
GA
In the registry since
2012
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4931 Riverside Dr Ste 300A
Macon, GA 31210-1168
Phone: (478) 257-6114
Fax: (478) 238-5415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIR008931 (GA)

Record details

NPI number1396016648
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 18, 2012
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023
Mailing address4931 Riverside Dr Ste 300a, Macon, GA 31210-1168

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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