Sokol Park Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOKOL PARK CHIROPRACTIC, LLC

Practice address

5690 Watermelon Rd Ste 300
Northport, AL 35473-5009

Phone

(205) 409-6665

NPI assigned

Feb 5, 2019

Organization subpart

No

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

Authorized official

Name

Scott Kennedy, DCNPI 1255318614

Title

Owner

Phone

(205) 409-6665

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Aaron Kennedy, DC

  • Chiropractor
  • Northport, AL
  • NPI 1255318614
  Medicare reassignment Care Compare group NPD Authorized official
• Jason Eric Pate, D.C.

  • Chiropractor
  • Northport, AL
  • NPI 1336256098
  Medicare reassignment Care Compare group NPD
• Logan Averett, PT

  • Physical Therapist
  • Northport, AL
  • NPI 1538824594
  Medicare reassignment NPD
• Lillian Catherine Holmes, DC

  • Chiropractor
  • Northport, AL
  • NPI 1144148750
  NPD
• Colton Towle, DC

  • Chiropractor
  • Northport, AL
  • NPI 1801717210
  NPD

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1013472943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 WATERMELON RD STE 300",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735009",
            "telephone_number": "205-409-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 WATERMELON RD STE 300",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735009",
            "telephone_number": "205-409-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOKOL PARK CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-409-6665",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rogers Smith, CRNP
• James Sidney Smith, M.D.
• Lisa Branscome Smith
• Susanne Mills Snider, CRNP
• Krista Kelley Snyder, MS CCC SLP
• Amanda Sparks
• Kris D Sparks, MSN, CRNP
• Troy Matthew Speigner, EMT
• Alyssa Joyce Spruill, CRNP
• Ansley Stanton

• Chiropractor in Northport, AL
• Providers in Northport, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.