Jodi K Green, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2592 Issued in AL

Practice address

2418 Danville Rd SW Ste C
Decatur, AL 35603-4278

Phone

(256) 822-2007

NPI assigned

Aug 13, 2019

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Green Squared

  dba Green Life Chiropractic

  • Health Service Clinic/Center
  • Decatur, AL
  • NPI 1679116230
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1164078440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 DANVILLE RD SW STE C",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034278",
            "telephone_number": "256-822-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 DANVILLE RD SW STE C",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034278",
            "telephone_number": "256-822-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JODI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "greenlifechiropractic",
            "affiliation": "N",
            "address_1": "2418 Danville Rd SW Ste C",
            "city": "Decatur",
            "state": "AL",
            "country_code": "US",
            "postal_code": "356034278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaitlyn Kibbe Graham, CRNP
• Laura Ann Graham, CRNP
• Grand Oaks Counseling, LLC
• Yvette Dolores Greaves, NP-C
• Green Squared (Green Life Chiropractic)
• Clay Austin Greenhill I, ALC
• Brandi Greeson, CRNP
• Kristen Shae Gregory, LICSW
• Jessica D Griffin, LPN
• Lise Ann Griffin, RN, CDE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.