Active NPI
Darryl Seymour Giliam, DC
- Chiropractor
- Lakeland, FL
National Provider Identifier
1891792016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0004082
- Practice address
- 3242 S Florida Ave
Lakeland, FL 33803-4574 - Phone
- (863) 644-0880
- Fax
- (863) 644-4992
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0004082 | FL | Primary |
Addresses
Primary practice location
3242 S Florida Ave
Lakeland, FL 33803-4574
Mailing address
3242 S Florida Ave
Lakeland, FL 33803-4574
Phone (863) 644-0880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380485200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0004082 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1891792016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3242 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338034574",
"telephone_number": "863-644-0880",
"fax_number": "863-644-4992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3242 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338034574",
"telephone_number": "863-644-0880",
"fax_number": "863-644-4992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILIAM",
"first_name": "DARRYL",
"middle_name": "SEYMOUR",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0004082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380485200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.