GIBSON CHIROPRACTIC CLINIC, PC (NPI# 1396189544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396189544 |
| Entity Type | Organization |
| Organization Name | GIBSON CHIROPRACTIC CLINIC, PC |
| Practice Address |
411 W Ponce De Leon Ave Decatur GA 30030-2444 |
| Practice Telephone | 4043784686 |
| Mailing Telephone | 4043784686 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |
| Authorized Official Name | DR. PATRICIA GIBSON (PRESIDENT) |
| Authorized Official Telephone | 4043784686 |
| Authorized Official Credential | CHIROC2513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIROC2513 | GA | Chiropractic Providers |
| Street Address |
411 W PONCE DE LEON AVE |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528137213 | Patricia A Gibson | Chiropractor | 411 W Ponce De Leon Ave, Decatur, GA 30030-2444 | 2006-11-07 |
| 1700059045 | Debra A Shefter | Massage Therapist | 411 W Ponce De Leon Ave, Decatur, GA 30030-2444 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| 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 |
|---|---|---|---|---|
| 1821621590 | Ericka Gonzalez-mercado | Chiropractor | 301 S Washburn St Ste D, Decatur, TX 76234-1658 | 2020-02-20 |
| 1811531684 | Kealy Olvera | Chiropractor | 3910 Flat Shoals Pkwy, Decatur, GA 30034-7510 | 2019-11-04 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1437700515 | Cara Gilligan | Chiropractor | 409 Mead Rd Unit 3, Decatur, GA 30030-3639 | 2019-09-20 |
| 1164078440 | Jodi K Green | Chiropractor | 2418 Danville Rd Sw Ste C, Decatur, AL 35603-4278 | 2019-08-13 |
| 1134771389 | Keysa Bailey | Chiropractor | 1089 Columbia Dr, Decatur, GA 30030-4728 | 2019-07-09 |
| 1245798545 | Xavier Ortiz Valle | Chiropractor | 1585 Church St Ste 665, Decatur, GA 30033-6059 | 2019-03-05 |
| 1619434388 | Peter William Vercellino | Chiropractor | 3350 N Water St Ste A, Decatur, IL 62526-2353 | 2019-02-28 |
| 1891268439 | Timothy A Peck Dc PC | Chiropractor | 2934 Point Mallard Pkwy Se # B2, Decatur, AL 35603-5700 | 2019-01-07 |
| 1487046066 | Haley Wilkins | Chiropractor | 2605 Danville Rd Sw, Decatur, AL 35603-4216 | 2015-02-19 |
| Find all providers in DECATUR | ||||
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| 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.