Jerry Lynn Markley, DOCTOR OF CHIROPRACT

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08000942A Issued in IN

Practice address

311 Drexel Parkway
Suite # 1
Rensellaer, IN 47978

Phone

(219) 866-3491

Fax

(219) 866-8800

NPI assigned

Nov 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 IN

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1983

Medicare assignment

May accept Medicare assignment

Group practices

Williams Chiropractic Corp PCGroup PAC ID 4385816214, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Markley Chiropractic Inc.

  • Chiropractor
  • Rensselaer, IN
  • NPI 1700904422
  Medicare reassignment NPD Authorized official
• Williams Chiropractic Corp PC

  dba Care Chiropractic

  • Chiropractor
  • Lafayette, IN
  • NPI 1710103957
  Medicare reassignment Care Compare group NPD
• Dr Stephen L Jennings PC

  dba Jennings Chiropractic Clinic

  • Chiropractor
  • Rensselaer, IN
  • NPI 1679619175
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225103146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 DREXEL PARKWAY",
            "address_2": "SUITE # 1",
            "city": "RENSELLAER",
            "state": "IN",
            "postal_code": "47978",
            "telephone_number": "219-866-3491",
            "fax_number": "219-866-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 DREXEL PARKWAY",
            "address_2": "SUITE # 1",
            "city": "RENSELLAER",
            "state": "IN",
            "postal_code": "47978",
            "telephone_number": "219-866-3491",
            "fax_number": "219-866-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLEY",
        "first_name": "JERRY",
        "middle_name": "LYNN",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000942A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.