Active NPI
Gay Lynne Adams, DC
- Chiropractor
- Monticello, IL
National Provider Identifier
1073652913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038007231
- Practice address
- 1109 N State St
Monticello, IL 61856-1175 - Phone
- (217) 762-8576
- Fax
- (217) 762-8578
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038007231 | IL | Primary |
Addresses
Primary practice location
1109 N State St
Monticello, IL 61856-1175
Mailing address
PO Box 235
Monticello, IL 61856-0235
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07423137 | Other | IL | BLUE SHIELD |
| 350049146 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1006 S Market St
Monticello, IL 61856-1842
Phone (217) 762-8576
PO Box
Suite 235
Monticello, IL 61856
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038007231 | IL | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Monticello, IL
- NPI 1366705113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339977600000",
"number": "1073652913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235",
"city": "MONTICELLO",
"state": "IL",
"postal_code": "618560235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 N STATE ST",
"city": "MONTICELLO",
"state": "IL",
"postal_code": "618561175",
"telephone_number": "217-762-8576",
"fax_number": "217-762-8578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "GAY",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2012-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038007231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "07423137",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350049146",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.