Lisa Marie Gillem, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6701 Issued in GA

Practice address

323 North Main Street
Adairsville, GA 30103-2906

Phone

(770) 773-9997

Fax

(770) 773-9995

NPI assigned

Mar 22, 2007

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

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gilferg Wellness GroupGroup PAC ID 1658272380, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gilferg Wellness Group

  • Chiropractor
  • Adairsville, GA
  • NPI 1093907875
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1164548665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N MAIN ST",
            "city": "ADAIRSVILLE",
            "state": "GA",
            "postal_code": "301032438",
            "telephone_number": "770-773-9997",
            "fax_number": "770-773-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 NORTH MAIN STREET",
            "city": "ADAIRSVILLE",
            "state": "GA",
            "postal_code": "301032906",
            "telephone_number": "770-773-9997",
            "fax_number": "770-773-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEM",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gala Chiropractic Center LLC
• Jordan Galanos
• Gentiva Health Services
• Gilbert M. James, OD Inc
• Gilferg Wellness Group
• April Detherage Gilley
• Sara Bass Harbin, MD
• Stephanie Henshaw
• Highland Rivers Community Service Board
• Highland Rivers Community Service Board

• Chiropractor in Adairsville, GA
• Providers in Adairsville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.

Verify at the official NPI Registry.