Individual provider Active NPI

Rachel Lynne Gammon, DC

  • Chiropractor
  • Georgetown, TX
National Provider Identifier
1669208336
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16164 Issued in TX
Practice address
5820 Williams Dr Ste Abc
Georgetown, TX 78633-8614
Phone
(512) 686-7458
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16164 TX Primary

Addresses

Primary practice location

5820 Williams Dr Ste Abc
Georgetown, TX 78633-8614

Mailing address

215 S Rock St Unit 9
Georgetown, TX 78626-2539
Phone (830) 237-1934

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241025001521 TX Practitioner - Chiropractic 0941733208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Center of Georgetown LLPGroup PAC ID 5597096826, 2 clinicians

Practice addresses (Care Compare)

5820 Williams Dr
Suite a B C
Georgetown, TX 78633-8614
Phone (512) 686-7458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16164TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Center of Georgetown LLP Chiropractor CurrentSince Sep 11, 2024 Accepting new patients

Locations

5820 Williams Dr
Ste A
Georgetown, TX 78633
Phone (512) 686-7458

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1669208336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S ROCK ST UNIT 9",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786262539",
            "telephone_number": "830-237-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 WILLIAMS DR STE ABC",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786338614",
            "telephone_number": "512-686-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMON",
        "first_name": "RACHEL",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.