Lili D Gipson, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

3030 Issued in GA

Practice address

715A Bascomb Commercial Pkwy
Woodstock, GA 30189-2466

Phone

(770) 924-9400

NPI assigned

Sep 26, 2006

Last updated

Oct 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Basic Chiropractic

  • Chiropractor
  • Woodstock, GA
  • NPI 1508238684
  NPD (past) Authorized official
• CML Family Chiropractic, Inc

  • Chiropractor
  • Woodstock, GA
  • NPI 1336491034
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1518068089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2363",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301020007",
            "telephone_number": "770-924-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715A BASCOMB COMMERCIAL PKWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301892466",
            "telephone_number": "770-924-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "LILI",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "3030",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "GA",
            "license": "3030",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "3030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Gibbs, MA
• Elijah Nicholas Gilbert, M.D.
• Zana Panchana Giler, RBT
• Katherine Rebecca Gilliam, MOT, OTR/L
• Jamie Gillis, P.A.
• Jodi Giuliano, LAPC, NCC
• Alondra Givers, MA, APC, NCC
• Michelle Wrayanne Glaze Parker, LPC
• Kimberley Glenn, PA
• Angela G Glisson, PT

• Sports Physician Chiropractor in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Sports Physician Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.