Active NPI
Carolyn Taylor Gilstad, D.C.
- Chiropractor
- Smyrna, GA
National Provider Identifier
1265734685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008636
- Practice address
- 767 Concord Rd SE
Smyrna, GA 30082-2625 - Phone
- (770) 319-6633
- NPI assigned
- Nov 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008636 | GA | Primary |
| Chiropractor | 111N00000X | 038011576 | IL |
Addresses
Primary practice location
767 Concord Rd SE
Smyrna, GA 30082-2625
Mailing address
767 Concord Rd SE
Smyrna, GA 30082-2625
Phone (770) 319-6633
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 |
|---|---|---|---|
| CHIR008636 | GA | MD | Chiropractor |
| 038011576 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1265734685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 CONCORD RD SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300822625",
"telephone_number": "770-319-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 CONCORD RD SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300822625",
"telephone_number": "770-319-6633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILSTAD",
"first_name": "CAROLYN",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-18",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008636",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011576",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.