Organization Active NPI

Healthsource of Florence LLC

  • Chiropractor
  • Florence, AL
National Provider Identifier
1225563844
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2511 Issued in AL
Legal business name
HEALTHSOURCE OF FLORENCE LLC
Practice address
133 Ana Dr
Florence, AL 35630-1731
Phone
(662) 316-4376
Fax
(256) 768-5226
NPI assigned
Apr 21, 2017
Last updated
Apr 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Dr. William T Jumper, D.C.NPI 1104362730
Title
Doctor of Chiropractic
Phone
(662) 316-4376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2511 AL Primary

Addresses

Primary practice location

133 Ana Dr
Florence, AL 35630-1731

Mailing address

PO Box 1036
Florence, AL 35631-1036
Phone (662) 316-4376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180103000982 AL Part B Supplier - Clinic/Group Practice 4880952423 Receives reassigned benefits from 2 practitioners
Practice locations: Florence, AL

National Provider Directory

National Provider Directory

Locations

133 Ana Dr
Florence, AL 35630
Phone (256) 275-3700

2555 Florence Blvd
Florence, AL 35630
Phone (256) 275-3700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1225563844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1036",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356311036",
            "telephone_number": "662-316-4376",
            "fax_number": "256-768-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ANA DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301731",
            "telephone_number": "662-316-4376",
            "fax_number": "256-768-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF FLORENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "JUMPER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "662-316-4376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.