Jamie Devon Stephens, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011188 Issued in IL

Practice address

801 Broadway Ave
Mattoon, IL 61938-4211

Phone

(217) 234-2800

NPI assigned

Jun 10, 2008

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Whole Body Health Center, S.C.

  • Chiropractor
  • Mattoon, IL
  • NPI 1255659645
  Medicare reassignment NPD Authorized official
• Stephens Neuropathy & Pain Solutions Inc

  • General Practice Physician
  • Mattoon, IL
  • NPI 1912652835
  NPD Authorized official
• Advantage Physical Medicine PLLC

  • Integrative Medicine Physician
  • Breese, IL
  • NPI 1568226553
  NPD (past)
• Dr. Matt Bryson, P.C.

  • Chiropractor
  • Greenville, IL
  • NPI 1194912246
  NPD (past)
• Revermann Chiropractic P.C.

  • Chiropractor
  • Breese, IL
  • NPI 1679679286
  NPD (past)
• The Pain Relief Center of Greenville, P.C.

  • Chiropractor
  • Greenville, IL
  • NPI 1548478449
  NPD (past)

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 18, 2022.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1003076464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BROADWAY AVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384211",
            "telephone_number": "217-234-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROADWAY AVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384211",
            "telephone_number": "217-234-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JAMIE",
        "middle_name": "DEVON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR LICENSE",
            "identifier": "038011188",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.gochiropractic.com",
            "affiliation": "N",
            "address_1": "801 Broadway Ave",
            "city": "Mattoon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "619384211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Allan Stanley, PT
• Skyler Starwalt, B.S.
• Kyla Jo Steffen
• Sean M Step, RPH
• Stephens Neuropathy & Pain Solutions Inc
• Dennis Lee Stevens, BC-HIS
• Jeremy Shane Stevens, M.D.
• Anise Stitnizky, BS
• Madeleine Stone
• Amanda Stout, LCPC

• All providers in Mattoon, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.