Individual provider Active NPI

Jesse B Gillham, DC

  • Chiropractor
  • Henderson, KY
National Provider Identifier
1780132977
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
249148 Issued in KY
Practice address
110 3Rd St Ste 110
Henderson, KY 42420-5802
Phone
(270) 770-5520
Fax
(844) 331-2800
NPI assigned
Sep 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 249148 KY Primary

Addresses

Primary practice location

110 3Rd St Ste 110
Henderson, KY 42420-5802

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Other identifiers 1

IdentifierTypeStateIssuer
249148OtherKYLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161005002018 KY Practitioner - Chiropractic 0244528370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Chiropractic PLLCGroup PAC ID 4486958543, 4 clinicians

Practice addresses (Care Compare)

110 3Rd St
Suite 110
Henderson, KY 42420-5802
Phone 27077055201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Integrated Medicine PSC CurrentSince Sep 1, 2016 Accepting new patients
Stinson Chiropractic LLC Chiropractor PastSince Jul 7, 2026 Accepting new patients

Locations

108 Osborne Way
Ste 6
Georgetown, KY 40324
Phone (502) 316-6533

Organizations & group practices 3

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": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1780132977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-492-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 3RD ST STE 110",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424205802",
            "telephone_number": "270-770-5520",
            "fax_number": "844-331-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLHAM",
        "first_name": "JESSE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-15",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "249148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "249148",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.