Michelle Elise Dibiase, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR006355 Issued in GA

Practice address

228 Riverside Dr
Waycross, GA 31501-3541

Phone

(912) 287-1414

Fax

(912) 287-1884

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1999

Medicare assignment

May accept Medicare assignment

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.

• Satilla Spine Center

  • Chiropractor
  • Waycross, GA
  • NPI 1437347044
  Medicare reassignment NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689783532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 RIVERSIDE DR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013541",
            "telephone_number": "912-287-1414",
            "fax_number": "912-287-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 RIVERSIDE DR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013541",
            "telephone_number": "912-287-1414",
            "fax_number": "912-287-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBIASE",
        "first_name": "MICHELLE",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "759966",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diabetes & Endocrine Treatment Center
• Diabetes and Endocrine Treatment Center Inc. (Diabetes and Endocrine Treatment Center)
• Jonathan S Dial, P.A.
• Dialysis Facility of Alma, Inc
• Diane Raulersons Home Medical Equipment (A Plus Home Oxygen & Medical Equipment)
• Jennifer Ann Dieu, ARNP, PMHNP
• Digestive Disease Consultants, P.C.
• Lakshmi Digumarthi, MD
• Dilorenzo Surgical Assisting
• Penny Marie Dilorenzo, CSFA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.