Elton Powell Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10308 Issued in FL

Practice address

1395 Cross Creek Cir
Tallahassee, FL 32301-3729

Phone

(850) 402-9060

Fax

(850) 402-9063

NPI assigned

Oct 16, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Dynamic Medical Center, LLC

  • Physical Medicine & Rehabilitation Physician
  • Tallahassee, FL
  • NPI 1487246781
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1235414764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 CROSS CREEK CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013729",
            "telephone_number": "850-402-9060",
            "fax_number": "850-402-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CROSS CREEK CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013729",
            "telephone_number": "850-402-9060",
            "fax_number": "850-402-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ELTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-16",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11788",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherelle Lashawn Pounds, CNA
• Jessica Pouranfar, PHD, MT-BC
• Pedram Pourfarzaneh
• Anika Yvonne Powell, LPN
• Ashley Elizabeth Powell
• Kimberly Michelle Powell, PA-C
• Shenicke Powell, CNA
• Shiwana Powell
• Tracy Powell, FNP-BC
• Andrea Cay Powers, CRNA

• Chiropractor in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.