Jonathan Eddy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104-557404 Issued in VA

Practice address

3970 Walnut St
Fairfax, VA 22030-4726

Phone

(703) 457-2337

NPI assigned

Mar 28, 2017

Last updated

Nov 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 GA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmercare Chiropractic Alpharetta LLCGroup PAC ID 7517304181, 2 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.

• Palmercare Chiropractic Alpharetta LLC

  • Chiropractor
  • Alpharetta, GA
  • NPI 1528834322
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1396277547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 WALNUT ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304726",
            "telephone_number": "703-457-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 WALNUT ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304726",
            "telephone_number": "703-457-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "JONATHAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephani Ebert
• Michael Joseph Eblan, MD
• Jennifer Eckert, LCSW
• Theodore Eckert III, CRNA
• Brianna La Nyce Ector, PSY.D.
• Kristin Halizak Eddy, O.T.
• Orin L Eddy, M.D.
• Rivka Edery, L.C.S.W.
• Edge Healthcare Inc
• Jeffrey Stephen Edge, PT

• Chiropractor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.