DR. HAROLD BRIAN GILLIS (NPI# 1104839125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104839125 |
| Entity Type | Individual |
| Full Name | DR. HAROLD BRIAN GILLIS |
| Credential | D.C. |
| Practice Address |
1207 Main Street Suite C Perry GA 31069 |
| Mailing Address |
P.o. Box 628 Perry GA 31069 |
| Practice Telephone | 4789879666 |
| Practice Fax Number | 4789888091 |
| Mailing Telephone | 4789879666 |
| Mailing Fax Number | 4789888091 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2017-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIRO05526 | GA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PALMETTO GBA RAILROAD MEDICARE | DH0819 | 01 |
| GA | 000806616A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003022047 | Harold Leon Gillis Jr. | Psychologist | 146 Island Dr Ne, Milledgeville, GA 31061-9043 | 2007-05-15 |
| Street Address |
1207 MAIN STREET SUITE C |
| City | PERRY |
| State | GA |
| Zip Code | 31069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174905244 | Robert D. Gray | Chiropractor | 1207 Main Street Suite C, Perry, GA 31069 | 2015-06-24 |
| 1174656250 | Stacey Maria Carter-fite | Chiropractor | 1207 Main Street Suite C, Perry, GA 31069 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114924 | Rebecca Lyn Parker | Pharmacist | 302 Walton Chase, Perry, GA 31069 | 2018-11-27 |
| 1437637568 | Joshua Thomas Guley | Dentist | 2161 Houston Lake Road Hwy 127, Perry, GA 31069 | 2018-07-31 |
| 1043755531 | Otha Everett | Counselor | 733-b Carroll Street, Perry, GA 31069 | 2016-12-20 |
| 1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
| 1639535628 | Holly Lavender | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069 | 2016-01-07 |
| 1598049918 | Spencer D Shugart | Physical Therapist | 1202 Macon Rd, Perry, GA 31069 | 2011-10-04 |
| 1154638518 | Middle Georgia Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 1040 Morningside Drive, Perry, GA 31069 | 2010-09-07 |
| 1922203686 | Sarah Pearson Velasquez | Nurse Practitioner | 1024 Keith Drive, Perry, GA 31069 | 2007-06-20 |
| 1417008004 | Bruce Duwayne Sampson | Internal Medicine | 1019 Keith Drive, Suite A, Perry, GA 31069 | 2007-01-12 |
| 1225087406 | Karunaker Reddy Sripathi | Internal Medicine | 209 Wes Park Drive, Perry Primary Care, Perry, GA 31069 | 2006-05-08 |
| Find all providers in zip 31069 | ||||
| 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 |
|---|---|---|---|---|
| 1669099685 | Tranesia Johnson | Chiropractor | 1207 Main St Ste C, Perry, GA 31069-4309 | 2020-06-26 |
| 1730641440 | Christopher Lynn Chriropractic, LLC | Chiropractor | 501 N Center St, Perry, FL 32347-2715 | 2019-04-02 |
| 1801255708 | Burkenbine Family Chiropractic, Pllc | Chiropractor | 437 290th St, Perry, IA 50220-7508 | 2016-02-19 |
| 1447673504 | Perry Spine Center | Chiropractor | 721 S Jefferson St, Perry, FL 32347-4116 | 2014-01-27 |
| 1619202587 | Tammy S. Edington | Chiropractor | 245 N Main, Perry, MI 48872-9700 | 2009-10-12 |
| 1700037280 | Misty Lynn Senz | Chiropractor | 3759 Center Rd, Suite G, Perry, OH 44081-9420 | 2008-10-02 |
| 1326204371 | Candace Reiser Baird | Chiropractor | 1207 Houston Lake Dr, Suite C, Perry, GA 31069-3583 | 2008-07-30 |
| 1881730042 | Dr. Brian Gillis P C | Chiropractor | 1207 Houston Lake Dr Ste C, Perry, GA 31069-3590 | 2007-01-29 |
| 1376613844 | Wesley Shane Bethea | Chiropractor | 100 Plantation Rd, Suite A, Perry, FL 32348-6000 | 2006-11-09 |
| 1801978192 | Family Chiropractic, Inc | Chiropractor | 3759 G Center Rd, Perry, OH 44081 | 2006-10-19 |
| Find all providers in PERRY | ||||
Please comment or provide details below to improve the information on DR. HAROLD BRIAN GILLIS.
| 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.