Justin F Southall, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2292 Issued in AL

Practice address

151 Fly Creek Avenue
Fairhope, AL 36532-3843

Phone

(225) 274-5507

Fax

(251) 928-0862

NPI assigned

Jul 8, 2008

Last updated

Oct 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Shore Chiropractic and Sports Clinic, IncGroup PAC ID 8729128228, 3 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Shore Chiropractic & Sports Clinic, Inc

  • Chiropractor
  • Fairhope, AL
  • NPI 1679809644
  Medicare reassignment Care Compare group NPD Authorized official
• Chirosouth Spine and Sport LLC

  • Chiropractor
  • Mobile, AL
  • NPI 1205351863
  NPD Authorized official

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1346403557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 FLY CREEK AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 FLY CREEK AVENUE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323843",
            "telephone_number": "225-274-5507",
            "fax_number": "251-928-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHALL",
        "first_name": "JUSTIN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Lewis Snellgrove, MD
• Naline Sokom, PHARMD
• Arielle Solomon, MD
• Sue Ellen Somerville, OTD, OTR/L, ATP
• South Alabama Orthodontics LLC
• Southeast Podiatry PC
• Southeast Podiatry PC
• Southeastern Dietetics LLC
• Southern Eye Group of Alabama, LLC
• Southern Orthopaedic Alliance PLLC

• Chiropractor in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.