Organization Active NPI

New Life Family Chiropractic, PC

  • Chiropractor
  • Decatur, AL
National Provider Identifier
1083913602
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2214 Issued in AL
Legal business name
NEW LIFE FAMILY CHIROPRACTIC, PC
Practice address
2828 Highway 31 S
Suite 104
Decatur, AL 35603-1510
Phone
(256) 301-0110
Fax
(256) 301-0116
NPI assigned
Mar 22, 2011
Last updated
Jun 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Authorized official

Name
Dr. Misty Marie Browning, DCNPI 1497950281
Title
Owner/Doctor
Phone
(256) 301-0110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2214 AL Primary
Pediatric ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NP0017X 2214 AL

Addresses

Primary practice location

2828 Highway 31 S
Suite 104
Decatur, AL 35603-1510

Mailing address

2828 Highway 31 S
Suite 104
Decatur, AL 35603-1510
Phone (256) 301-0110

Other identifiers 1

IdentifierTypeStateIssuer
102G351802OtherALMEDICARE GROUP PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110504000571 AL Part B Supplier - Clinic/Group Practice 7618152745 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, AL; Madison, AL

National Provider Directory

National Provider Directory

Locations

1311 13th Ave SE
Decatur, AL 35601
Phone (256) 301-0110

26330 Old Highway 20
Madison, AL 35756
Phone (256) 301-0110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1083913602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 S",
            "address_2": "SUITE 104",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031510",
            "telephone_number": "256-301-0110",
            "fax_number": "256-301-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 S",
            "address_2": "SUITE 104",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031510",
            "telephone_number": "256-301-0110",
            "fax_number": "256-301-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "BROWNING",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "256-301-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2214",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "AL",
            "license": "2214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "102G351802",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.