Active NPI
Paul T Gully, D.C.
- Chiropractor
- Mobile, AL
National Provider Identifier
1225122799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0972
- Practice address
- 4300-C Midmost Drive
Mobile, AL 36609 - Phone
- (251) 342-0479
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0972 | AL | Primary |
Addresses
Primary practice location
4300-C Midmost Drive
Mobile, AL 36609
Mailing address
4300-C Midmost Drive
Mobile, AL 36609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51071221 | Other | AL | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040109000748 | AL | Practitioner - Chiropractic | 2860392552 | Practice locations: Mobile, AL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4300 Midmost Dr C
Mobile, AL 36609-5520
Phone (251) 342-0479
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225122799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300-C MIDMOST DRIVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "36609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300-C MIDMOST DRIVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "36609",
"telephone_number": "251-342-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLY",
"first_name": "PAUL",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "0972",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "51071221",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
- Gulf Gastroenterology Partners, LLC (The Endoscopy Center at Springhill)
- Gulf Health Hospitals, Inc. (Rx4U DMC)
- Gulf Regional Pathologists PA
- Gulfsouth Medical LLC
- Crystin Nash Gulledge, P.A.
- James Kelley Gunn, PA-C
- Tony Gunn II, LICSW
- John Paul Gunnels, RPH
- Joseph W Gunter, DMD
- Madeleine John Arcadius Guntur
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.