Individual provider Active NPI

Pattrick Scott Gallagher, D.C.

  • Chiropractor
  • Goldsboro, NC
National Provider Identifier
1366527244
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2777 Issued in NC
Practice address
1304 E Ash St
Goldsboro, NC 27530-5106
Phone
(919) 735-4300
Fax
(919) 735-2424
NPI assigned
Oct 26, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2777 NC Primary

Addresses

Primary practice location

1304 E Ash St
Goldsboro, NC 27530-5106

Mailing address

1011 W Williams St Ste 104
Apex, NC 27502-3979
Phone (919) 303-2213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051027000136 NC Practitioner - Chiropractic 1951327477

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1304 E Ash St
Goldsboro, NC 27530-5106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2777NCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic First, PLLC Chiropractor CurrentSince Jul 1, 2004 Accepting new patients
Dawn of Health Chiropractic PLLC Chiropractor CurrentSince Jul 24, 2022 Accepting new patients

Locations

1011 W Williams St
Ste 104
Apex, NC 27502
Phone (919) 303-2213

1304 E Ash St
Goldsboro, NC 27530
Phone (919) 601-3325

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366527244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W WILLIAMS ST STE 104",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023979",
            "telephone_number": "919-303-2213",
            "fax_number": "919-303-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 E ASH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275305106",
            "telephone_number": "919-735-4300",
            "fax_number": "919-735-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "PATTRICK",
        "middle_name": "SCOTT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.