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NPI · 1114513652 · NPPES-sourced

Gold Medal Group, LLC

ActiveChiropractor
NPI Number
1114513652
Type 2 · Organisation
Taxonomy Code
111N00000X
Contact
(920) 569-2350
Primary practice line
Last Updated
Enumerated
Primary practice addressWI · 54304-4706
827 Cormier RdGreen Bay, WI 54304-4706
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About this NPIWhat this record shows.

NPI 1114513652 is registered to Gold Medal Group, LLC, a healthcare organisation classified as "Chiropractor" and located at 827 Cormier Rd in Green Bay, Wisconsin. The organisation's authorised official is Jackson Draeger. The organisation has been enumerated in the NPI registry since 2020.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Gold Medal Group, LLC accepts. To confirm in-network status with your specific health plan, contact Gold Medal Group, LLC directly at (920) 569-2350.

Frequently asked

Yes. NPI 1114513652 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Chiropractor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (920) 569-2350.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Gold Medal Group, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy111N00000X
Last updated
Enumerated
StatusActive
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