Individual provider Active NPI

Gail Shannon Galligan, DC

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1750466306
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2521 Issued in NC
Practice address
1221 Floral Parkway
Suite 103
Wilmington, NC 28403-6238
Phone
(910) 790-4575
Fax
(910) 790-7819
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2521 NC Primary

Addresses

Primary practice location

1221 Floral Parkway
Suite 103
Wilmington, NC 28403-6238

Mailing address

1221 Floral Pkwy
Suite 103
Wilmington, NC 28403-6238
Phone (910) 790-4575

Other identifiers 3

IdentifierTypeStateIssuer
0845KOtherNCBCBS
2453965OtherNCCIGNA
890845KMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130529000269 NC Practitioner - Chiropractic 1355589698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1221 Floral Pkwy
Suite 103
Wilmington, NC 28403-6235
Phone (910) 790-4575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2521NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Galligan Family Chiropractic Chiropractor CurrentSince Mar 12, 2013 Accepting new patients

Locations

1221 Floral Pkwy
Ste 103
Wilmington, NC 28403
Phone (910) 790-4575

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750466306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 FLORAL PKWY",
            "address_2": "SUITE 103",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036238",
            "telephone_number": "910-790-4575",
            "fax_number": "910-790-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 FLORAL PARKWAY",
            "address_2": "SUITE 103",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036238",
            "telephone_number": "910-790-4575",
            "fax_number": "910-790-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIGAN",
        "first_name": "GAIL",
        "middle_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0845K",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2453965",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890845K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • 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.