Bethany Carilli, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557411 Issued in VA

Practice address

800 Buffalo St
Farmville, VA 23901-1112

Phone

(434) 315-5868

Fax

(434) 315-5989

NPI assigned

Apr 21, 2017

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 VA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bethany Carilli DC IncGroup PAC ID 6204172620, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southside Community Hospital, Inc Hospital, Farmville, VA, CCN 490090

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bethany Carilli, D.C., Inc

  • Chiropractor
  • Farmville, VA
  • NPI 1225510076
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southside Community Hospital, Inc.

  • General Acute Care Hospital
  • Farmville, VA
  • NPI 1518952761
  Care Compare affiliation

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1184159782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239010371",
            "telephone_number": "434-315-5868",
            "fax_number": "434-315-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BUFFALO ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011112",
            "telephone_number": "434-315-5868",
            "fax_number": "434-315-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARILLI",
        "first_name": "BETHANY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin James Burrell, DDS
• Arthur Lee Byrd Sr., LMHP-R
• Chelsea Calhoun, NP
• Alison Cameron, ATC
• Alicia Madeline Candia
• Lauren Elaine Carpenter, CCC-SLP
• Norman Tortosa Carrera, OT
• Erica Green Carter, M.D.
• Centra
• Centra Medical Group Southside, LLC

• Chiropractor in Farmville, VA
• Providers in Farmville, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.