DR. LARRY ELISHA GIBSON (NPI# 1093830549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093830549 |
| Entity Type | Individual |
| Full Name | DR. LARRY ELISHA GIBSON |
| Credential | D.C. |
| Practice Address |
3333 Northside Dr Suite G Macon GA 31210-2588 |
| Practice Telephone | 4784774415 |
| Practice Fax Number | 4784774419 |
| Mailing Telephone | 4784774415 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2010-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
CHIR001656 | GA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PTAN | 202I354140 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952815748 | Larry Hiriam Gibson Jr. | Home Health | 12925 Northwest Fwy, Houston, TX 77040-6303 | 2017-12-01 |
| 1942590989 | Larry Marlin Gibson | Physical Therapy Assistant | 1625 Hill St, Anderson, IN 46012-2425 | 2011-04-11 |
| 1538278734 | Larry Franklin Gibson | Family Medicine | 202 Sylvarena Ave., Raleigh, MS 39153 | 2006-08-30 |
| 1518326743 | Larry Ryan Gibson | Nurse Practitioner | 509 N Elam Ave, 2nd Fl, Greensboro, NC 27403-1118 | 2016-02-16 |
| 1114013521 | Larry Gibson | Psychiatry & Neurology | 2051 Hamill Rd, Ste 301 B, Hixson, TN 37343-6614 | 2006-10-04 |
| Street Address |
3333 NORTHSIDE DR SUITE G |
| City | MACON |
| State | GA |
| Zip Code | 31210-2588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780780932 | Thomas H Woodcock | Dentist | 3333 Northside Dr, Suite B, Macon, GA 31210-2588 | 2006-09-15 |
| 1245656693 | Ch Simco | Home Health | 3333 Northside Dr, Suite E, Macon, GA 31210-2588 | 2014-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235609041 | Dynamic Spine II Center LLC | Chiropractor | 21 Market Square Way Ste 103, Newnan, GA 30265-5712 | 2018-12-05 |
| 1134337223 | W David Hall | Chiropractor | 104 E Hall St, Thomson, GA 30824-2726 | 2007-05-20 |
| 1639214208 | James Kevin Donohue | Chiropractor | 6094 Odell St, Cumming, GA 30040-5704 | 2007-02-21 |
| 1629111505 | Paul V Wickster | Chiropractor | 1590 Prince Ave, Athens, GA 30606-6006 | 2007-02-14 |
| 1851434476 | Harry Ellsworth Siegrist IIi | Chiropractor | 1781 Veterans Memorial Hwy Ste 1a, Austell, GA 30168-7965 | 2007-02-14 |
| 1326193947 | Alejandro Serrano | Chiropractor | 4852 Jimmy Carter Blvd, Norcross, GA 30093-3643 | 2007-01-24 |
| 1972687762 | Jeffrey Berklich | Chiropractor | 1101 Cambridge Sq, Ste B, Alpharetta, GA 30004-1865 | 2006-10-25 |
| 1114001245 | David Saverio Ficco | Chiropractor | 1885 Lawrenceville Suwanee Rd, Suite 130, Lawrenceville, GA 30043-1408 | 2006-10-25 |
| 1073618229 | Katharine Maxine Geier | Chiropractor | 2453 N Decatur Rd, Decatur, GA 30033-6101 | 2006-09-13 |
| 1053420265 | Deborah Caroline Tucker | Chiropractor | 2769 Chastain Meadows Pkwy, 130, Marietta, GA 30066-3369 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. LARRY ELISHA GIBSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.