Individual provider Active NPI

Gary Walicki, D.C.

  • Chiropractor
  • Asheville, NC
National Provider Identifier
1003830373
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2348 Issued in NC
Practice address
22 Sardis Rd
Asheville, NC 28806-8536
Phone
(828) 667-8000
Fax
(828) 667-8001
NPI assigned
Jul 27, 2006
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2348 NC Primary

Addresses

Primary practice location

22 Sardis Rd
Asheville, NC 28806-8536

Mailing address

22 Sardis Rd
Asheville, NC 28806-8536
Phone (828) 667-8000

Other practice location 1

22 Sardis Rd
Asheville, NC 28806-8536
Phone (828) 667-8000

Other identifiers 1

IdentifierTypeStateIssuer
1003830373OtherNCFACILITY NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425000977 NC Practitioner - Chiropractic 9234397894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22 Sardis Rd
Asheville, NC 28806-8536
Phone (828) 667-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2348NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic Center NC, PC CurrentSince Mar 12, 2024 Accepting new patients
Advanced Chiropractic Center Chiropractor PastSince Dec 23, 2002 Accepting new patients

Locations

22 Sardis Rd
Asheville, NC 28806
Phone (828) 667-8000

Networks

  • TN PPO C-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • TN PPO

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1003830373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SARDIS RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288068536",
            "telephone_number": "828-667-8000",
            "fax_number": "828-667-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SARDIS RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288068536",
            "telephone_number": "828-667-8000",
            "fax_number": "828-667-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Sardis Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288068536",
            "country_code": "US",
            "telephone_number": "828-667-8000",
            "fax_number": "828-667-8001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALICKI",
        "first_name": "GARY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI",
            "identifier": "1003830373",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.