Active NPI
Mark E Atnip, D.C.
- Chiropractor
- Paducah, KY
National Provider Identifier
1093988016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4624
- Practice address
- 2731 Jackson St
Paducah, KY 42003-3855 - Phone
- (270) 444-7111
- Fax
- (270) 444-7122
- NPI assigned
- Apr 10, 2008
- Last updated
- Jun 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 4624 | KY | Primary |
Addresses
Primary practice location
2731 Jackson St
Paducah, KY 42003-3855
Mailing address
2731 Jackson St
Paducah, KY 42003-3855
Phone (270) 444-7111
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB0778 | Other | KY | RR MEDICARE GROUP |
| 000000318314 | Other | KY | ANTHEM PIN |
| 85900371 | Other | KY | MEDICAID GROUP |
| 85001402 | Medicaid | KY | |
| P00085622 | Other | KY | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2731 Jackson St
Paducah, KY 42003-3855
Phone (270) 444-7111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCracken County Chiropractic | Chiropractor | Current | Accepting new patients |
| McCracken County Chiropractic PSC | Chiropractor | Current | Accepting new patients |
Locations
2731 Jackson St
Paducah, KY 42003
Phone (270) 444-7111
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Paducah, KY
- NPI 1669526885
-
- Chiropractor
- Paducah, KY
- NPI 1225038839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1093988016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2731 JACKSON ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420033855",
"telephone_number": "270-444-7111",
"fax_number": "270-444-7122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2731 JACKSON ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420033855",
"telephone_number": "270-444-7111",
"fax_number": "270-444-7122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATNIP",
"first_name": "MARK",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-10",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "DB0778",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000318314",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "85900371",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85001402",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00085622",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.