Gibson Chiropractic Clinic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIROC2513 Issued in GA

Legal business name

GIBSON CHIROPRACTIC CLINIC, PC

Practice address

411 W Ponce de Leon Ave
Decatur, GA 30030-2444

Phone

(404) 378-4686

NPI assigned

Apr 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Gibson, CHIROC2513NPI 1528137213

Title

President

Phone

(404) 378-4686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia A Gibson, DC

  • Chiropractor
  • Decatur, GA
  • NPI 1528137213
  Medicare reassignment NPD Authorized official
• Janet Cheng, DC

  • Chiropractor
  • Decatur, GA
  • NPI 1538675962
  NPD

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1396189544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W PONCE DE LEON AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302444",
            "telephone_number": "404-378-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W PONCE DE LEON AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302444",
            "telephone_number": "404-378-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-378-4686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROC2513"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIROC2513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Giannakakis, PA-C
• Paula Gibbons, RN
• Gretchen Lee Gibbs, D.C.
• Jerrold Gibbs, COTA/L
• Sharanda Gibbs
• Alexa Delana Gibson
• Cheryl Gibson, PHD
• Ernest Leonard Gibson
• Patricia A Gibson, DC
• Patricia L Gibson, L.P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.