| Perry Chiropractic Health Center | |
|
1207 Houston Lake Dr Ste C, Perry, GA 31069-3590 | |
| (478) 987-9666 | |
| (478) 988-8091 |
| Full Name | Perry Chiropractic Health Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1207 Houston Lake Dr Ste C, Perry, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881730042 | NPI | - | NPPES |
| 000806616A | Medicaid | GA | |
| DH0819 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIRO05526 (Georgia) | Primary |
| Provider Name | Harold B Gillis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104839125 PECOS PAC ID: 5890897771 Enrollment ID: I20070223000145 |
| Provider Name | Stacey M Carter Fite |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174656250 PECOS PAC ID: 2668559709 Enrollment ID: I20080414000317 |
| Provider Name | Robert D Gray |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174905244 PECOS PAC ID: 8921316944 Enrollment ID: I20150924001525 |
| Provider Name | Michael W Evans |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710496138 PECOS PAC ID: 3072868926 Enrollment ID: I20180816001150 |
| Provider Name | Amy Kerr |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730697368 PECOS PAC ID: 3375805146 Enrollment ID: I20190221003077 |
| Provider Name | Stephen Allan Broughman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730759994 PECOS PAC ID: 4981009115 Enrollment ID: I20210825002906 |
| Provider Name | Joy J Fuller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235866476 PECOS PAC ID: 8426432238 Enrollment ID: I20220829000703 |
| Provider Name | Jeniffer Marie Vega Gonzalez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316574304 PECOS PAC ID: 2567891096 Enrollment ID: I20221207001981 |
| Provider Name | Selina Suliveres |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215633755 PECOS PAC ID: 3476926510 Enrollment ID: I20230310000673 |
| Provider Name | Madeline Washington |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154527653 PECOS PAC ID: 5597713552 Enrollment ID: I20230728000304 |
| Provider Name | Dominique B Taylor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548023526 PECOS PAC ID: 1951747302 Enrollment ID: I20240308000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Perry Chiropractic Health Center Po Box 628, Perry, GA 31069-0628 Ph: (478) 987-9666 | Perry Chiropractic Health Center 1207 Houston Lake Dr Ste C, Perry, GA 31069-3590 Ph: (478) 987-9666 |
Dr. Harold Brian Gillis, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1207 Main Street Suite C, Perry, GA 31069 Phone: 478-987-9666 Fax: 478-988-8091 | |
Dr. Stacey Maria Carter-fite, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1207 Main Street Suite C, Perry, GA 31069 Phone: 478-987-9666 Fax: 478-988-8091 | |
Dr. Robert D. Gray, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1207 Main Street Suite C, Perry, GA 31069 Phone: 478-987-9666 Fax: 478-988-8091 | |
Joy J Fuller, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1207 Main St Ste C, Perry, GA 31069 Phone: 478-987-9666 | |
Dr. Candace Reiser Baird, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1207 Houston Lake Dr, Suite C, Perry, GA 31069 Phone: 478-987-9666 Fax: 478-988-8091 | |
Dr. Kyle Aaron Yawn, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1304 Macon Rd, Perry, GA 31069 Phone: 478-987-7555 Fax: 478-988-4508 | |
Dominique B Taylor, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1207 Main St Ste C, Perry, GA 31069 Phone: 478-987-9666 |