Individual provider Active NPI

Logan Gates, DC

  • Chiropractor
  • Mountain BRK, AL
National Provider Identifier
1083205520
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1321 Issued in MS
Practice address
2800 Cahaba Village PLZ Ste 270
Mountain BRK, AL 35243-5952
Phone
(205) 656-0090
NPI assigned
Jan 28, 2021
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1321 MS Primary

Addresses

Primary practice location

2800 Cahaba Village PLZ Ste 270
Mountain BRK, AL 35243-5952

Mailing address

3952 Sydney TRL
Birmingham, AL 35211-7081

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316001369 AL Practitioner - Chiropractic 5294140711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Star North Inc.Group PAC ID 0345675963, 2 clinicians

Practice addresses (Care Compare)

1210 20TH St S
Suite 200
Birmingham, AL 35205-3899
Phone (205) 203-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1321MSMDChiropractor
2814ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Star North Inc Chiropractor CurrentSince Feb 1, 2026 Accepting new patients

Locations

1210 20th St S
Ste 200
Birmingham, AL 35205
Phone (205) 203-0000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1083205520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3952 SYDNEY TRL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352117081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CAHABA VILLAGE PLZ STE 270",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352435952",
            "telephone_number": "205-656-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-28",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.