Paul G. Lyell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38010780 Issued in IL

Practice address

1521 W Walnut St Ste D
Jacksonville, IL 62650-1153

Phone

(217) 243-4333

Fax

(217) 243-8082

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Paul G. Lyell Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Los Angeles, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VBL Holdings, LTD.Group PAC ID 0840702726, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• VBL Holdings, LTD.

  • Chiropractor
  • Jacksonville, IL
  • NPI 1710442488
  Medicare reassignment Care Compare group NPD Authorized official
• Morganics, LLC

  • Chiropractor
  • Wentzville, MO
  • NPI 1508343914
  NPD (past) Authorized official
• Lyell Wellness, Inc

  • Chiropractor
  • Merced, CA
  • NPI 1932459161
  NPD
• Valley Performance Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Merced, CA
  • NPI 1699333542
  NPD
• Midwest Chiropractic Clinic of Pittsfield, LTD

  • Chiropractor
  • Pittsfield, IL
  • NPI 1477690865
  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": "1576800000000",
    "number": "1518068337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 W WALNUT ST STE D",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501153",
            "telephone_number": "217-243-4333",
            "fax_number": "844-892-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 W WALNUT ST STE D",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501153",
            "telephone_number": "217-243-4333",
            "fax_number": "217-243-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYELL",
        "first_name": "PAUL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2017018593",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30710",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38010780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "LYELL",
            "middle_name": "G.",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.