Individual provider Active NPI

Terrionna Kayesha Gannon, DC

  • Chiropractor
  • Forest City, NC
National Provider Identifier
1134869357
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5446 Issued in NC
Practice address
152 W Main St
Forest City, NC 28043-3050
Phone
(828) 245-0202
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5446 NC Primary

Addresses

Primary practice location

152 W Main St
Forest City, NC 28043-3050

Mailing address

152 W Main St
Forest City, NC 28043-3050
Phone (828) 245-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220426000749 NC Practitioner - Chiropractic 5395132179 Reassigns benefits to 2 organizations
I20240701002446 KY Practitioner - Chiropractic 5395132179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Health Center of Georgetown PLLCGroup PAC ID 2264815273, 3 clinicians

Practice addresses (Care Compare)

105 Magnolia Dr
Suite 2
Georgetown, KY 40324-8046
Phone (859) 408-5440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5446NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Center of Georgetown PLLC Chiropractor CurrentSince May 1, 2024 Accepting new patients
New Beginnings Chiropractic of Georgetown PLLC Chiropractor CurrentSince Dec 31, 2024 Accepting new patients
Carolina Chiropractic Plus of Polk County Inc Chiropractor CurrentSince Sep 13, 2022 Accepting new patients
Carolina Chiropractic Plus of Rutherford County Inc. Chiropractor CurrentSince Apr 1, 2022 Accepting new patients

Locations

105 Eastside Dr
Georgetown, KY 40324
Phone (502) 570-9313

105 Magnolia Dr
Ste 2
Georgetown, KY 40324
Phone (502) 642-4408

751 Slone Dr
Georgetown, KY 40324

96 Walker St
Columbus, NC 28722
Phone (828) 245-0202

152 W Main St
Forest City, NC 28043
Phone (828) 245-0202

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1134869357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 W MAIN ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280433050",
            "telephone_number": "828-245-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 W MAIN ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280433050",
            "telephone_number": "828-245-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "TERRIONNA",
        "middle_name": "KAYESHA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.