Active NPI
Gary Lee Thorne, D.C.
- Chiropractor
- Fayetteville, NC
National Provider Identifier
1184606741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1753
- Practice address
- 517 Beaumont Rd
Fayetteville, NC 28304-4424 - Phone
- (910) 323-5522
- Fax
- (910) 483-9497
- NPI assigned
- Nov 18, 2005
- Last updated
- Mar 14, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 1753 | NC | Primary |
Addresses
Primary practice location
517 Beaumont Rd
Fayetteville, NC 28304-4424
Mailing address
517 Beaumont Rd
Fayetteville, NC 28304-4424
Phone (910) 323-5522
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89013GN | Medicaid | NC | |
| 013GN | Other | NC | BCBS GROUP |
| 08878 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8908878 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
517 Beaumont Rd
Fayetteville, NC 28304-4424
Phone (910) 323-5522
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1753 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross Creek Chiropractic Clinic PA | Chiropractor | Current | Accepting new patients |
| Jeffrey K. Baldwin | Chiropractor | Past | Accepting new patients |
| Chiropractic Health and Wellness Center, P. a. | Chiropractor | Past | Accepting new patients |
Locations
517 Beaumont Rd
Fayetteville, NC 28304
Phone (910) 323-5522
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Fayetteville, NC
- NPI 1891890869
-
- Chiropractor
- Fayetteville, NC
- NPI 1710150016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394755200000",
"number": "1184606741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 BEAUMONT RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044424",
"telephone_number": "910-323-5522",
"fax_number": "910-483-9497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 BEAUMONT RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044424",
"telephone_number": "910-323-5522",
"fax_number": "910-483-9497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNE",
"first_name": "GARY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2014-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89013GN",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "013GN",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08878",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908878",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.