HANNAH GOMOLAK DC
NPI 1750107256
Chiropractor in Port Orange, FL
About Hannah Gomolak Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HANNAH GOMOLAK DC (NPI 1750107256) is an individual chiropractor in Port Orange, Florida, licensed in Florida (CH15216) and active in the NPI registry since November 2024. She is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hannah Gomolak Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Hannah Gomolak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milledgeville, GA 31061
- Reassigned Medicare billing, Georgia enrollment
- 4 clinicians in this Medicare group
Eatonton, GA 31024
- Reassigned Medicare billing, Georgia enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT ORANGE, FL 32129
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Hannah Gomolak's NPI number?
The NPI number for Hannah Gomolak is 1750107256. It was assigned to this individual provider in the NPPES registry on November 29, 2024.
Where is Hannah Gomolak located?
Hannah Gomolak practices at 3510 S Nova Rd Ste 111, Port Orange, FL 32129. The listed phone number is (386) 947-7185.
What is Hannah Gomolak's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Hannah Gomolak enrolled in Medicare?
Yes. Hannah Gomolak is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Hannah Gomolak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hannah Gomolak reassigns Medicare benefits to 2 organizations: Pure Chiropractic Milledgeville LLC (Milledgeville, GA) and Theodore G. Smith, D.C., P.C (Eatonton, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hannah Gomolak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Hannah Gomolak was last updated on November 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Hannah Gomolak, DC · NPI 1750107256
Chiropractor provider in Port Orange, Florida. Individual provider, active in the CMS NPPES registry since November 29, 2024.
## Identity
- **NPI:** 1750107256 (Entity type: Individual)
- **Enumerated:** November 29, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH15216 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3510 S NOVA RD STE 111, Port Orange, FL 32129-3796
- **Phone:** (386) 947-7185
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pure Chiropractic Milledgeville LLC (NPI 1700146883, Milledgeville, GA); Theodore G. Smith, D.C., P.C (NPI 1104996644, Eatonton, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** November 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1750107256) · Data from the CMS NPPES public registry.