Organization Active NPI

J Adam Martin Chiropractic LLC

  • Chiropractor
  • New Albany, MS
National Provider Identifier
1033530159
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0800 Issued in MS
Legal business name
J ADAM MARTIN CHIROPRACTIC LLC
Practice address
512 E Main St
New Albany, MS 38652-4915
Phone
(662) 534-6330
Fax
(662) 534-7418
NPI assigned
Dec 16, 2013
Last updated
Dec 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
J Adam Martin Jr., DO
Title
Owner
Phone
(662) 534-6330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0800 MS Primary

Addresses

Primary practice location

512 E Main St
New Albany, MS 38652-4915

Mailing address

512 E Main St
New Albany, MS 38652-4915
Phone (662) 534-6330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140122001307 MS Part B Supplier - Clinic/Group Practice 2163650003 Receives reassigned benefits from 1 practitioner
Practice locations: New Albany, MS

National Provider Directory

National Provider Directory

Locations

512 E Main St
New Albany, MS 38652
Phone (662) 534-6330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1033530159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E MAIN ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386524915",
            "telephone_number": "662-534-6330",
            "fax_number": "662-534-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E MAIN ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386524915",
            "telephone_number": "662-534-6330",
            "fax_number": "662-534-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J ADAM MARTIN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-534-6330",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "0800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.