Devon Tyler McGillem, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002450A Issued in IN

Practice address

450 S State Road 135
Greenwood, IN 46142-1455

Phone

(317) 889-8998

Fax

(317) 889-9127

NPI assigned

Jun 4, 2009

Last updated

Sep 8, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 IN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiromed Plus LLCGroup PAC ID 7416174347, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Chiromed Plus, LLC

  • Chiropractor
  • Crawfordsville, IN
  • NPI 1881007722
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1225264245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S STATE ROAD 135",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421455",
            "telephone_number": "317-889-8998",
            "fax_number": "317-889-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S STATE ROAD 135",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421455",
            "telephone_number": "317-889-8998",
            "fax_number": "317-889-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILLEM",
        "first_name": "DEVON",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002450A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Ann McGann, MS, OTR/L
• Khala McGee, RBT
• Mary Grace McGee, RBT
• Joanna McGill, P.T.
• Cassandra Lee McGillem, OTD, OTR
• Amy Lee McGovern
• Eric Robert McGovern, DPT
• Kathryn M McGovern, NP
• Diana McGraw, LCAC
• Sylvia Jane McGuire, LCSW

• Chiropractor in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.