Jerry L Conway, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

728 Issued in AL

Practice address

3689 Watermelon Rd
Capstone Chiropractic Center
Northport, AL 35473-5139

Phone

(205) 758-1600

Fax

(205) 758-6698

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Capstone Chiropractic Center, P.C.

  • Chiropractor
  • Northport, AL
  • NPI 1104919497
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043310055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3689 WATERMELON RD",
            "address_2": "CAPSTONE CHIROPRACTIC CENTER",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735139",
            "telephone_number": "205-758-1600",
            "fax_number": "205-758-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3689 WATERMELON RD",
            "address_2": "CAPSTONE CHIROPRACTIC CENTER",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735139",
            "telephone_number": "205-758-1600",
            "fax_number": "205-758-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "JERRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51074208",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Colley, NP
• Amy Nicole Collins, DNP, FNP-C
• Richard Earl Collins, CRNA
• Communication Advantage
• Aidan Conway, BSN, RN
• Steven Coppock, M.D.
• Cornerstone Caregiving East LLC
• Alexis Catherine Cortez
• Adam Cotant, DMD
• Counseling Ministry Professionals, Inc

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.