P Praxis·MD
● Active Type 1 · Individual

DR. Larry Elisha Gibson, D.C.

Chiropractor·MacOn, GA· NPI 1093830549 · Enumerated 2007 · 19 years on NPI
Gibson is 1 of 1 chiropractor providers in MacOn and 1 of 23 in Georgia.
NPI age
19 years
Enumerated 2007-03-20
Primary specialty
Chiropractor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-05-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 23 active chiropractor providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Practice location
3333 Northside Dr, Suite G
MacOn, GA 312102588
📞 4784774415fax 4784774419
Mailing address
3333 Northside Dr, Suite G
MacOn, GA 312102588
📞 4784774415

Specialties

  • Chiropractor Primary
    Chiropractic Orthopedics/Neuromusculoskeletal Medicine 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...
    GA license #CHIR001656 taxonomy 111NX0800X

Identifiers

TypeValueNotes
01 (GA) 202I354140 MEDICARE PTAN

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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