Individual provider Active NPI

Jay Douglas Cochran

  • Chiropractor
  • Nashville, IL
National Provider Identifier
1225743784
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013947 Issued in IL
Practice address
140 S Mill St
Nashville, IL 62263-1831
Phone
(618) 327-2000
Fax
(618) 327-8770
NPI assigned
Jan 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013947 IL Primary

Addresses

Primary practice location

140 S Mill St
Nashville, IL 62263-1831

Mailing address

140 S Mill St
Nashville, IL 62263-1831
Phone (618) 327-2000

Other practice location 1

140 S Mill St
Nashville, IL 62263-1831
Phone (618) 327-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230217001530 IL Practitioner - Chiropractic 4587036611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 S Delmar Ave
Suite B
Salem, IL 62881-2000
Phone (618) 740-1711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013947ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Chiropractic LLC Chiropractor CurrentSince May 13, 2023 Accepting new patients
Nashville Chiropractic, LLC Chiropractor CurrentSince Jan 1, 2023 Accepting new patients
Vincent Chiropractic, S.C. Chiropractor Past Accepting new patients

Locations

140 S Mill St
Nashville, IL 62263
Phone (618) 327-2000

120 S Delmar Ave
Ste B
Salem, IL 62881
Phone (618) 401-7117

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1225743784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S MILL ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631831",
            "telephone_number": "618-327-2000",
            "fax_number": "618-327-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S MILL ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631831",
            "telephone_number": "618-327-2000",
            "fax_number": "618-327-8770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 S Mill St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "IL",
            "postal_code": "622631831",
            "country_code": "US",
            "telephone_number": "618-327-2000",
            "fax_number": "618-327-8770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "JAY",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.