Individual provider Active NPI

Jeromy John Myers, DC

  • Chiropractor
  • Battle Creek, MI
National Provider Identifier
1063506558
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008188 Issued in MI
Practice address
1250 E Columbia Ave
Battle Creek, MI 49014
Phone
(269) 964-1441
Fax
(269) 964-0137
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008188 MI Primary

Addresses

Primary practice location

1250 E Columbia Ave
Battle Creek, MI 49014

Mailing address

1230 Columbia Ave E
Ste a
Battle Creek, MI 49014-5188
Phone (269) 964-1441

Other identifiers 3

IdentifierTypeStateIssuer
950A350080OtherBCBS
P25706FOtherBCN
4472888MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111102000302 MI Practitioner - Chiropractic 5395917504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1230 Columbia Ave E
Suite a
Battle Creek, MI 49014-5188
Phone (269) 964-1441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gymer Chiropractic Clinic PC Chiropractor CurrentSince Jan 1, 2001 Accepting new patients
Donnell Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

1230 Columbia Ave E
Ste A
Battle Creek, MI 49014
Phone (269) 964-1441

1250 Columbia Ave E
Battle Creek, MI 49014
Phone (269) 883-6052

2314 Gull Rd
Ste A
Kalamazoo, MI 49048
Phone (269) 459-1339

Interoperability endpoints

  • Direct secure messaging: jermoy.myers@direct.secureehrthomas.com

Organizations & group practices 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1063506558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 COLUMBIA AVE E",
            "address_2": "STE A",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145188",
            "telephone_number": "269-964-1441",
            "fax_number": "269-964-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E COLUMBIA AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49014",
            "telephone_number": "269-964-1441",
            "fax_number": "269-964-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JEROMY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950A350080",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P25706F",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4472888",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.