Healthsource Athens, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HEALTHSOURCE ATHENS, LLC

Practice address

1207 E Forrest St Ste a
Athens, AL 35613-2058

Phone

(256) 233-7776

Fax

(256) 251-6229

NPI assigned

Mar 2, 2021

Organization subpart

No

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

Authorized official

Name

Devin Eernisse, D.C.NPI 1164946281

Title

Chiropractor

Phone

(763) 442-2960

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devin Eernisse, DC

  • Chiropractor
  • Athens, AL
  • NPI 1164946281
  Medicare reassignment Care Compare group NPD Authorized official
• Gracie Griffin Downs, DC

  • Chiropractor
  • Athens, AL
  • NPI 1174393391
  Medicare reassignment Care Compare group NPD
• Daniel Daley, DC

  • Chiropractor
  • Athens, AL
  • NPI 1255369070
  NPD (past)
• David Austin Lang, D.C.

  • Chiropractor
  • Athens, AL
  • NPI 1962651612
  NPD (past)
• Joseph Paul Lawrence, D.C.

  • Chiropractor
  • Athens, AL
  • NPI 1275713661
  NPD (past)
• Jerrell Joel Meares, DC

  • Chiropractor
  • Killen, AL
  • NPI 1376557413
  NPD (past)
• Nestor J Pagan, D.C.

  • Chiropractor
  • Athens, AL
  • NPI 1184717118
  NPD (past)

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1134714256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 E FORREST ST STE A",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132058",
            "telephone_number": "256-233-7776",
            "fax_number": "256-251-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 E FORREST ST STE A",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132058",
            "telephone_number": "256-233-7776",
            "fax_number": "256-251-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE ATHENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "EERNISSE",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "763-442-2960",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Jason Hatfield, D.O.
• Katie Elizabeth Hatfield, CRNP
• Health Care Authority of Athens and Limestone County (Athens Limestone Hopsital)
• Healthcare Authority of Athens and Limestone County (Pia)
• Healthcare Authority of Athens and Limestone County (EKG Interpretations)
• Lorie McCurry Hedgepeth, DC
• Michael Lynn Hedgepeth, DC
• Timothy Ray Helton Jr., PT, DPT
• Hemapro Inc. (MedCare East)
• Cristen Ann Matlock Hendrix, C.R.N.P.

• Chiropractor in Athens, AL
• Providers in Athens, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.