Individual provider Active NPI

James Drew Anderson, DC

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1184880304
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
249528 Issued in KY
Practice address
410 N Hurstbourne Pkwy
Louisville, KY 40222-5360
Phone
(502) 423-0500
Fax
(502) 423-0719
NPI assigned
Aug 7, 2008
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 249528 KY Primary

Addresses

Primary practice location

410 N Hurstbourne Pkwy
Louisville, KY 40222-5360

Mailing address

410 N Hurstbourne Pkwy
Louisville, KY 40222-5360
Phone (502) 423-0500

Other practice location 1

26 Mack Walters Rd
Shelbyville, KY 40065-1738
Phone (502) 633-1574

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000824 KY Practitioner - Chiropractic 0749304897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisville Health SolutionsGroup PAC ID 6204017361, 2 clinicians

Practice addresses (Care Compare)

410 N Hurstbourne Pkwy
Louisville, KY 40222-5360
Phone (502) 423-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
249528KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shelbyville Chiropractic Center, P.S.C. PastSince Oct 3, 2005 Accepting new patients
Culver Chiropractic Chiropractor PastSince Feb 14, 2014 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1184880304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N HURSTBOURNE PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225360",
            "telephone_number": "502-423-0500",
            "fax_number": "502-423-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N HURSTBOURNE PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225360",
            "telephone_number": "502-423-0500",
            "fax_number": "502-423-0719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Mack Walters Rd",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "KY",
            "postal_code": "400651738",
            "country_code": "US",
            "telephone_number": "502-633-1574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAMES",
        "middle_name": "DREW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-07",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "249528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.