Individual provider Active NPI

Shane Aron Semegon, D.C.

  • Chiropractor
  • Auburn, AL
National Provider Identifier
1326585563
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2526 Issued in AL
Practice address
323 Airport Rd
Suite E
Auburn, AL 36830-5702
Phone
(334) 246-2252
Fax
(334) 521-7184
NPI assigned
Jan 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2526 AL Primary

Addresses

Primary practice location

323 Airport Rd
Suite E
Auburn, AL 36830-5702

Mailing address

323 Airport Rd
Suite E
Auburn, AL 36830-5702
Phone (334) 246-2252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191204001132 FL Practitioner - Chiropractic 1052684925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2321 NW 41St St
Suite B
Gainesville, FL 32606-6680
Phone (352) 448-1402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2526ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Awaken Chiropractic PLLC Chiropractor CurrentSince Sep 18, 2019 Accepting new patients

Locations

2321 NW 41st St
Ste B
Gainesville, FL 32606
Phone (352) 448-1402

5200 NW 43rd St
Ste 507
Gainesville, FL 32606
Phone (352) 264-0314

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": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1326585563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 AIRPORT RD",
            "address_2": "SUITE E",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305702",
            "telephone_number": "334-246-2252",
            "fax_number": "334-521-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 AIRPORT RD",
            "address_2": "SUITE E",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305702",
            "telephone_number": "334-246-2252",
            "fax_number": "334-521-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMEGON",
        "first_name": "SHANE",
        "middle_name": "ARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.