Chirosouth Spine and Sport LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2292 Issued in AL

Legal business name

CHIROSOUTH SPINE AND SPORT LLC

Practice address

277 McGregor Ave S
Mobile, AL 36608-2340

Phone

(251) 990-8383

Fax

(251) 990-8399

NPI assigned

Aug 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Justin F Southall, DCNPI 1346403557

Title

Owner/Chiropractor

Phone

(850) 990-8383

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 3

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

• Eleanor Harwell Rainwater, DC

  • Chiropractor
  • Spanish Fort, AL
  • NPI 1205533080
  Medicare reassignment Care Compare group NPD
• Jeremy Scott Quint, D.C.

  • Chiropractor
  • Columbus, OH
  • NPI 1639492770

  AL

  Medicare reassignment Care Compare group NPD
• Justin F Southall, D.C.

  • Chiropractor
  • Fairhope, AL
  • NPI 1346403557
  NPD Authorized official

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1205351863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 FLY CREEK AVE STE 411",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365328308",
            "telephone_number": "850-990-8383",
            "fax_number": "850-990-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 MCGREGOR AVE S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082340",
            "telephone_number": "251-990-8383",
            "fax_number": "251-990-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROSOUTH SPINE AND SPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "SOUTHALL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "850-990-8383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Chipley, RBT
• Gustavo Alberto Chiriboga, M.D.
• Samantha Chirichella, D.C.
• Chiropractic Life Center
• Chiropractic Works, PC
• Emily Chisholm, PT
• Jason N Chisholm, PT
• Melissa Chisholm
• Savannah Chisom, AUD
• Tisungane Blessing Chiwembu, NURSE PRACTITIONER

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.