Individual provider Active NPI

Alan Michael Gilenson, D.C.

  • Chiropractor
  • Suwanee, GA
National Provider Identifier
1164529897
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3101 Issued in GA
Practice address
3550 Lawrenceville Suwanee Rd
112
Suwanee, GA 30024-7049
Phone
(770) 232-9483
Fax
(770) 232-9493
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3101 GA Primary

Addresses

Primary practice location

3550 Lawrenceville Suwanee Rd
112
Suwanee, GA 30024-7049

Mailing address

3550 Lawrenceville Suwanee Rd
112
Suwanee, GA 30024-7049
Phone (770) 232-9483

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060313000223 GA Practitioner - Chiropractic 8527075860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3550 Lawrenceville-Suwanee Rd
Suite 112
Suwanee, GA 30024-4626
Phone (770) 232-9493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3101GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Amg Wellness Center, LLC Chiropractor CurrentSince Jan 1, 2006 Accepting new patients
Northeast Georgia Rehabilitation Center,Inc Past Accepting new patients

Locations

3550 Lawrenceville Suwanee Rd
Ste 112
Suwanee, GA 30024
Phone (770) 232-9483

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1164529897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 LAWRENCEVILLE SUWANEE RD",
            "address_2": "112",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247049",
            "telephone_number": "770-232-9483",
            "fax_number": "770-232-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 LAWRENCEVILLE SUWANEE RD",
            "address_2": "112",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247049",
            "telephone_number": "770-232-9483",
            "fax_number": "770-232-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILENSON",
        "first_name": "ALAN",
        "middle_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "3101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.