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

Dr. Mitchel L. Thacker, DC

Individual provider Chiropractor · NPI 1710059498

Dr. Mitchel L. Thacker, DC is a Chiropractic in Conyers, Georgia. Graduated from Life Chiropractic College in 1983, 43 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
43
Trained at
Life Chiropractic College
Licensed in
GA
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1815 Highway 138 SE Ste 600
Conyers, GA 30013-2079
Phone: (770) 860-8333
Fax: (770) 860-8833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIR002342 (GA)

Record details

NPI number1710059498
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2575 Abbey Ridge Rd Sw, Conyers, GA 30094-3459

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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