Demitrious Gilmore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

008745 Issued in GA

Practice address

126 Holcomb Ferry Rd
Roswell, GA 30076-2030

Phone

(404) 644-3410

NPI assigned

Dec 3, 2010

Last updated

Dec 3, 2010By 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gilmorehands, Inc

  • Chiropractor
  • Tucker, GA
  • NPI 1104115302
  NPD (past) Authorized official
• GHM Medical Clinic

  • Pain Management Registered Nurse
  • Dallas, TX
  • NPI 1841638863
  Authorized official Same address or phone

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1235431701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HOLCOMB FERRY RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762030",
            "telephone_number": "404-644-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HOLCOMB FERRY RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762030",
            "telephone_number": "404-644-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "DEMITRIOUS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "008745",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "010359",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "PA",
            "license": "010359",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "GA",
            "license": "CHIR008745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Gilbert
• Synetha Bennett Gilchrist
• Frances Kathlyn Giles, LAPC
• Yosef J. Giles Sr., PA-C
• Rebecca Ann Gillen, MS, CCC-SLP
• Laurie Orkin Ginburg, M.A.CCC-SLP
• Diana Giraldo, PTA
• Angela Girello, O.D.
• Sunitha Girish, MD
• Gamal F Giroush, D.C

• Chiropractor in Roswell, GA
• Providers in Roswell, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.