Individual provider Active NPI

Jonathan T Robinson, DC

  • Chiropractor
  • Madison, AL
National Provider Identifier
1013013143
Registry record updated May 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1847 Issued in AL
Practice address
12205 County Line Rd
Suite D
Madison, AL 35758-7719
Phone
(256) 461-7775
Fax
(256) 461-7756
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 1847 AL
Chiropractor 111N00000X 1847 AL Primary

Addresses

Primary practice location

12205 County Line Rd
Suite D
Madison, AL 35758-7719

Mailing address

2010 S Point Park Cir
Apt 150
Huntsville, AL 35801-5479
Phone (256) 461-7775

Other identifiers 2

IdentifierTypeStateIssuer
51533586OtherALBLUE CROSS BLUE SHIELD
51533585OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060918000449 AL Practitioner - Chiropractic 4284639691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1997
Medicare assignment
May accept Medicare assignment
Group practices
P3 Chiropractic and Sports Care, IncGroup PAC ID 2961720438, 3 clinicians

Practice addresses (Care Compare)

2614 Artie St SW
Huntsville, AL 35805-4798
Phone (256) 270-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
P3 Chiropractic and Sports Care, Inc. Chiropractor CurrentSince May 1, 2020 Accepting new patients

Locations

2614 Artie St SW
Huntsville, AL 35805
Phone (256) 270-8700

2010 S Point Park Cir
Apt 150
Huntsville, AL 35801
Phone (256) 270-8700

Networks

  • TN PPO
  • AL HMO D-SNP
  • TN PPO C-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • AL HMO
  • FL HMO D-SNP
  • MS PPO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • MS PPO D-SNP
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • MS PPO C-SNP
  • FL PPO

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557532800000",
    "number": "1013013143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S POINT PARK CIR",
            "address_2": "APT 150",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015479",
            "telephone_number": "256-461-7775",
            "fax_number": "256-461-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 COUNTY LINE RD",
            "address_2": "SUITE D",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587719",
            "telephone_number": "256-461-7775",
            "fax_number": "256-461-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JONATHAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AL",
            "license": "1847",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51533586",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51533585",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2019; 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.