Active NPI
Jeffrey Alan Powell, D.C.
- Chiropractor
- Hudson, NC
National Provider Identifier
1073519062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2594
- Practice address
- 3330 Hickory Blvd
Hudson, NC 28638-9024 - Phone
- (828) 396-2163
- Fax
- (282) 396-4177
- NPI assigned
- Jun 23, 2005
- Reactivated
- Mar 27, 2006
- Last updated
- Jul 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2594 | NC | Primary |
Addresses
Primary practice location
3330 Hickory Blvd
Hudson, NC 28638-9024
Mailing address
3330 Hickory Blvd
Hudson, NC 28638-9024
Phone (828) 396-2163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101110000680 | NC | Practitioner - Chiropractic | 5294920716 | Practice locations: Hudson, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3330 Hickory Blvd
Hudson, NC 28638-9024
Phone (828) 396-2163
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2594 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1073519062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 HICKORY BLVD",
"city": "HUDSON",
"state": "NC",
"postal_code": "286389024",
"telephone_number": "828-396-2163",
"fax_number": "282-396-4177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 HICKORY BLVD",
"city": "HUDSON",
"state": "NC",
"postal_code": "286389024",
"telephone_number": "828-396-2163",
"fax_number": "282-396-4177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JEFFREY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2007-07-18",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.