Active NPI
Giselle J Philson, LMT
- Other Specialist/Technologist
- Atlanta, GA
National Provider Identifier
1205136223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- MT006787
- Practice address
- 55 Upper Alabama St SW
Atlanta, GA 30303-3169 - Phone
- (678) 761-5234
- NPI assigned
- Oct 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | MT006787 | GA | Primary |
Addresses
Primary practice location
55 Upper Alabama St SW
Atlanta, GA 30303-3169
Mailing address
2091 Mallard Way
Lithonia, GA 30058-8337
Phone (678) 761-5234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT006787 | GA | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1205136223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2091 MALLARD WAY",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300588337",
"telephone_number": "678-761-5234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 UPPER ALABAMA ST SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033169",
"telephone_number": "678-761-5234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILSON",
"first_name": "GISELLE",
"middle_name": "J",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-25",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "GA",
"license": "MT006787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.