Individual provider Active NPI

Andrew Joseph Cefalu Jr., D.C.

  • Chiropractor
  • Flowood, MS
National Provider Identifier
1144265174
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1143 Issued in MS
Practice address
2470 Flowood Dr.
Suite 125
Flowood, MS 39232
Phone
(601) 932-9201
Fax
(601) 932-4962
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008002 GA
Chiropractor 111N00000X 1143 MS Primary

Addresses

Primary practice location

2470 Flowood Dr.
Suite 125
Flowood, MS 39232

Mailing address

2470 Flowood Dr.
Suite 125
Flowood, MS 39232
Phone (601) 932-9201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091201000614 MS Practitioner - Chiropractic 1850303264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cefalu Chiropractic Services of Madison LLCGroup PAC ID 1557739596, 2 clinicians

Practice addresses (Care Compare)

2470 Flowood Dr
Suite 125
Flowood, MS 39232-9019
Phone (601) 932-9201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008002GAMDChiropractor
1143MSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cefalu Chiropractic Services of Madison, LLC Chiropractor CurrentSince Nov 1, 2022 Accepting new patients

Locations

2470 Flowood Dr
#125
Flowood, MS 39232
Phone (601) 932-9201

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1144265174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 FLOWOOD DR.",
            "address_2": "SUITE 125",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-932-9201",
            "fax_number": "601-932-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 FLOWOOD DR.",
            "address_2": "SUITE 125",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-932-9201",
            "fax_number": "601-932-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEFALU",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008002",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.