Organization Active NPI

Hall Chiropractic Clinic, Inc.

  • Chiropractor
  • Athens, AL
National Provider Identifier
1154376978
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1263 Issued in AL
Legal business name
HALL CHIROPRACTIC CLINIC, INC.
Practice address
613 E Hobbs St
Athens, AL 35611-2150
Phone
(256) 232-5703
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles Ronald Hall, R.PH., D.C.
Title
Doctor of Chiropractic
Phone
(256) 232-5703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1263 AL Primary

Addresses

Primary practice location

613 E Hobbs St
Athens, AL 35611-2150

Mailing address

PO Box 786
Athens, AL 35612-0786
Phone (256) 232-5703

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110211000751 AL Part B Supplier - Clinic/Group Practice 1557541208 Receives reassigned benefits from 1 practitioner
Practice locations: Harvest, AL

National Provider Directory

National Provider Directory

Locations

613 E Hobbs St
Athens, AL 35611
Phone (256) 232-5703

304 E Hobbs St
Athens, AL 35611
Phone (256) 232-5703

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154376978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356120786",
            "telephone_number": "256-232-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 E HOBBS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112150",
            "telephone_number": "256-232-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "256-232-5703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "R.PH., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.