Individual provider Active NPI

William D.M. Atkinson III, D.C.

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1417024498
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006262 Issued in FL
Practice address
2619 Blairstone Rd
Tallahassee, FL 32301-5905
Phone
(850) 656-2200
Fax
(850) 656-9766
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0006262 FL Primary

Addresses

Primary practice location

2619 Blairstone Rd
Tallahassee, FL 32301-5905

Mailing address

2619 Blairstone Rd
Tallahassee, FL 32301-5905
Phone (850) 656-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120213000187 FL Practitioner - Chiropractic 0446417943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Fiorini Chiropractic Center, P.a.Group PAC ID 9638336134, 3 clinicians

Practice addresses (Care Compare)

2619 Blairstone Rd
Tallahassee, FL 32301-5905
Phone (850) 656-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0006262FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fiorini Chiropractic Center, P.a. Chiropractor CurrentSince Feb 14, 1991 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417024498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 BLAIRSTONE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323015905",
            "telephone_number": "850-656-2200",
            "fax_number": "850-656-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 BLAIRSTONE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323015905",
            "telephone_number": "850-656-2200",
            "fax_number": "850-656-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "WILLIAM",
        "middle_name": "D.M.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.