Active NPI
Foster James Cullum IV, D.C
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1265444210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7576
- Practice address
- 3728 Phillips Hwy Ste 13
Jacksonville, FL 32207-6840 - Phone
- (904) 477-4480
- Fax
- (904) 683-5619
- NPI assigned
- Aug 11, 2006
- Last updated
- Feb 24, 2011
- Sex
- Male
- Sole proprietor
- No
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 | CH7576 | FL | Primary |
Addresses
Primary practice location
3728 Phillips Hwy Ste 13
Jacksonville, FL 32207-6840
Mailing address
PO Box 47125
Jacksonville, FL 32247-7125
Phone (904) 477-4480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3818543 | Medicaid | FL |
Other names 1
- Dr. Foster James Cullum IV
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GSW Clinic, LLC | Chiropractor | Past | Accepting new patients |
| Cullum Chiropractic Centers Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Jacksonville Beach, FL
- NPI 1760665087
-
dba Physician's Health Center of Jacksonville
- Chiropractor
- Jacksonville, FL
- NPI 1003126574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1265444210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47125",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322477125",
"telephone_number": "904-477-4480",
"fax_number": "904-683-5619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3728 PHILLIPS HWY STE 13",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322076840",
"telephone_number": "904-477-4480",
"fax_number": "904-683-5619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLUM",
"first_name": "FOSTER",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3818543",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FOSTER",
"last_name": "CULLUM",
"middle_name": "JAMES",
"prefix": "DR.",
"suffix": "IV",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.