Individual provider Active NPI

Jason T Powell, DC

  • Chiropractor
  • Alachua, FL
National Provider Identifier
1043285919
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7551 Issued in FL
Practice address
15043 Main St
Alachua, FL 32615-3637
Phone
(386) 462-5886
Fax
(386) 462-4668
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7551 FL Primary

Addresses

Primary practice location

15043 Main St
Alachua, FL 32615-3637

Mailing address

15043 Main St
Alachua, FL 32615-3637
Phone (386) 462-5886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027001099 FL Practitioner - Chiropractic 9234235144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Associates of Alachua PAGroup PAC ID 2860597887, 2 clinicians

Practice addresses (Care Compare)

15043 Main St
Alachua, FL 32615-3637
Phone (386) 462-5886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7551FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Associates of Alachua, P.a. Chiropractor CurrentSince Mar 1, 2001 Accepting new patients

Locations

15551 NW US Highway 441
Unit 60
Alachua, FL 32615
Phone (386) 462-5886

15043 Main St
Alachua, FL 32615
Phone (386) 462-5886

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1043285919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15043 MAIN ST",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326153637",
            "telephone_number": "386-462-5886",
            "fax_number": "386-462-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15043 MAIN ST",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326153637",
            "telephone_number": "386-462-5886",
            "fax_number": "386-462-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JASON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alachua, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.