Holly Georgeson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5148-12 Issued in WI

Practice address

1524 S Green Bay Rd Ste 101
Mount Pleasant, WI 53406-5788

Phone

(262) 800-1115

NPI assigned

Dec 28, 2015

Last updated

Nov 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pediatric, Prenatal and Family Chiropractic of Wisconsin LLC

  • Chiropractor
  • Mount Pleasant, WI
  • NPI 1164094975
  Authorized official Same address or phone
• Potisk Chiropractic Office, S.C.

  • Chiropractor
  • South Milwaukee, WI
  • NPI 1821130675
  NPD (past)

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1043675549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 S GREEN BAY RD STE 101",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534065788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 S GREEN BAY RD STE 101",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534065788",
            "telephone_number": "262-800-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGESON",
        "first_name": "HOLLY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5148-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith William Garofalo, L.AC.
• Richard David Garrett, PHARMD
• Tiffany Ann Garza
• Aislynn Gavin
• Joshua Douglas Gayle
• Jennifer R Giera, DPT, PT, CLT
• Latisha Gilbert, RN
• Kristine Gilson, PTA
• Michelle Gionti, DDS
• Angela K Gleisner, PA-C

• Chiropractor in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.