Individual provider Active NPI

Corey Alexander Neill, D.C.

  • Chiropractor
  • Tuscaloosa, AL
National Provider Identifier
1124553078
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2534 Issued in AL
Practice address
2000 Veterans Memorial Pkwy Ste 5
Tuscaloosa, AL 35404-4055
Phone
(205) 462-3384
Fax
(205) 722-2178
NPI assigned
Apr 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2534 AL Primary

Addresses

Primary practice location

2000 Veterans Memorial Pkwy Ste 5
Tuscaloosa, AL 35404-4055

Mailing address

2000 Veterans Memorial Pkwy Ste 5
Tuscaloosa, AL 35404-4055
Phone (205) 462-3384

Other identifiers 1

IdentifierTypeStateIssuer
1598475964OtherNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170613001007 AL Practitioner - Chiropractic 2668740804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Veterans Memorial Pkwy
Suite 4And5
Tuscaloosa, AL 35404-4054
Phone (205) 462-3384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2534ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuscaloosa Chiropractic, LLC Chiropractor CurrentSince May 11, 2017 Accepting new patients

Locations

2000 Veterans Memorial Pkwy
Ste 45
Tuscaloosa, AL 35404
Phone (205) 462-3384

2110 McFarland Blvd E
Ste E
Tuscaloosa, AL 35404
Phone (205) 462-3384

2000 Veterans Memorial Pkwy
Ste 8
Tuscaloosa, AL 35404
Phone (205) 462-3384

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1124553078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 VETERANS MEMORIAL PKWY STE 5",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354044055",
            "telephone_number": "205-462-3384",
            "fax_number": "205-722-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VETERANS MEMORIAL PKWY STE 5",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354044055",
            "telephone_number": "205-462-3384",
            "fax_number": "205-722-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILL",
        "first_name": "COREY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-28",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598475964",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.