Devin Eernisse, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2540 Issued in AL

Practice address

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

Phone

(256) 233-7776

Fax

(562) 251-6229

NPI assigned

Jul 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthsource Athens LLCGroup PAC ID 2769891191, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Healthsource Athens, LLC

  • Chiropractor
  • Athens, AL
  • NPI 1134714256
  Medicare reassignment Care Compare group NPD Authorized official
• Health Source Madison PC

  • Chiropractor
  • Madison, AL
  • NPI 1932841616
  NPD
• Spinecare Inc

  • Chiropractor
  • Madison, AL
  • NPI 1538171004
  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1164946281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 US HIGHWAY 31 S",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112825",
            "telephone_number": "256-233-7776",
            "fax_number": "256-233-7688"
        },
        {
            "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": "562-251-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EERNISSE",
        "first_name": "DEVIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Limestone Family Dental, PC
• Eastside Family Medicine
• Eastside Pharmacy and Custom Compounding, Inc.
• Caitlin Edgmon
• Christopher E. Edwards, MD
• Ej&M Homes
• Stephanie Embry, CRNP
• Emergency Physicians Group Athens-Limestone County
• Emg Solutions, LLC
• Emm Dee Drug Co Inc

• 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.
• 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.