Active NPI
Jordan Herbert Phillips
- Chiropractor
- Daphne, AL
National Provider Identifier
1265279855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2863
- Practice address
- 28260 US Highway 98 Ste B
Daphne, AL 36526-7075 - Phone
- (251) 850-4128
- NPI assigned
- Jul 10, 2024
- Last updated
- Mar 31, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2863 | AL | Primary |
Addresses
Primary practice location
28260 US Highway 98 Ste B
Daphne, AL 36526-7075
Mailing address
28260 US Highway 98 Ste B
Daphne, AL 36526-7075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28260 US Hwy 98
Suite B
Daphne, AL 36526-7075
Phone (251) 850-4128
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2863 | AL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
28260 US Highway 98
Ste B
Daphne, AL 36526
Phone (251) 445-1850
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1265279855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28260 US HIGHWAY 98 STE B",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28260 US HIGHWAY 98 STE B",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267075",
"telephone_number": "251-850-4128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JORDAN",
"middle_name": "HERBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-10",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
- Pharmacy Corporation of America (Pharmerica)
- Pharmacy Corporation of America (RX Advantage)
- Pharmacy Services LLC (Pharmacy Service Pharmacy)
- Pharmacy Services LLC (Pharmacy Service Pharmacy)
- Abby Phillips, CRNP
- Stephanie Philpot, LPC
- Lisa Phipps
- Phlebocare Mobile LLC
- Physician Services Group of Alabama
- Pierce Specific Chiropractic, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.