Individual provider Active NPI

Dillan Lakhu

  • Chiropractor
  • Lady Lake, FL
National Provider Identifier
1962283101
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14742 Issued in FL
Practice address
1501 N US Highway 441 BLDG Ste 101
Lady Lake, FL 32159-8999
Phone
(352) 484-0109
NPI assigned
Oct 12, 2023
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14742 FL Primary

Addresses

Primary practice location

1501 N US Highway 441 BLDG Ste 101
Lady Lake, FL 32159-8999

Mailing address

1501 N US Highway 441 BLDG Ste 101
Lady Lake, FL 32159-8999
Phone (352) 484-0109

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250530001242 GA Practitioner - Chiropractic 2567971773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Brian Gillis P CGroup PAC ID 0244311322, 4 clinicians

Practice addresses (Care Compare)

1207 Houston Lake Dr
Suite C
Perry, GA 31069-3590
Phone (478) 987-9666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14742FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Chiropractic of Warner Robins, LLC Chiropractor CurrentSince Jan 7, 2026 Accepting new patients
Dr. Brian Gillis P C Chiropractor CurrentSince May 5, 2025 Accepting new patients

Locations

1207 Main St
Ste C
Perry, GA 31069
Phone (478) 987-9666

4027 Watson Blvd
Ste 180
Warner Robins, GA 31093
Phone (478) 333-1773

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1962283101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N US HIGHWAY 441 BLDG STE 101",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598999",
            "telephone_number": "352-484-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N US HIGHWAY 441 BLDG STE 101",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598999",
            "telephone_number": "352-484-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKHU",
        "first_name": "DILLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.