Organization Active NPI

Core Health Centers of Grayson

  • Chiropractor
  • Grayson, KY
National Provider Identifier
1295206209
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORE HEALTH CENTERS OF GRAYSON
Practice address
710 N Carol Malone Blvd Ste B
Grayson, KY 41143-1126
Phone
(606) 831-4432
Fax
(606) 393-0902
NPI assigned
Dec 17, 2018
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Jeremiah J Holmes, DCNPI 1689771081
Title
Owner
Phone
(606) 831-4432

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

710 N Carol Malone Blvd Ste B
Grayson, KY 41143-1126

Mailing address

710 N Carol Malone Blvd Ste B
Grayson, KY 41143-1126
Phone (606) 831-4432

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190206000987 KY Part B Supplier - Clinic/Group Practice 8820336423 Receives reassigned benefits from 4 practitioners
Practice locations: Grayson, KY

National Provider Directory

National Provider Directory

Locations

710 N Carol Malone Blvd
#B
Grayson, KY 41143
Phone (606) 618-9600

Practitioners & affiliated clinicians

Practitioners 5

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": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1295206209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N CAROL MALONE BLVD STE B",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431126",
            "telephone_number": "606-831-4432",
            "fax_number": "606-393-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N CAROL MALONE BLVD STE B",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431126",
            "telephone_number": "606-831-4432",
            "fax_number": "606-393-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE HEALTH CENTERS OF GRAYSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-831-4432",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.