Individual provider Active NPI

Jay Douglas Meggison, DC

  • Chiropractor
  • Cedar Point, NC
National Provider Identifier
1417964388
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2233 Issued in NC
Practice address
704 Cedar Point Blvd
Cedar Point, NC 28584-8012
Phone
(252) 393-5090
Fax
(252) 393-3567
NPI assigned
Aug 2, 2006
Last updated
Aug 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2233 NC Primary

Addresses

Primary practice location

704 Cedar Point Blvd
Cedar Point, NC 28584-8012

Mailing address

704 Cedar Point Blvd
Cedar Point, NC 28584-8012
Phone (252) 393-5090

Other identifiers 2

IdentifierTypeStateIssuer
1417964388OtherNCBCBS
1417964388MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100226000441 NC Practitioner - Chiropractic 9032254248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

704 Cedar Point Blvd
Cedar Point, NC 28584-8012
Phone (252) 393-5090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2233NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Meggison Family Chiropractic, PC Chiropractor CurrentSince Aug 7, 1999 Accepting new patients

Locations

704 Cedar Point Blvd
Cedar Point, NC 28584
Phone (252) 393-5090

1075 Walmart Dr
Williamston, NC 27892
Phone (252) 809-4303

819 E Boulevard
Ste C4
Williamston, NC 27892
Phone (919) 809-4303

1454 Gentry Memorial Hwy
Easley, SC 29640
Phone (864) 644-2700

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1417964388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 CEDAR POINT BLVD",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285848012",
            "telephone_number": "252-393-5090",
            "fax_number": "252-393-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 CEDAR POINT BLVD",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285848012",
            "telephone_number": "252-393-5090",
            "fax_number": "252-393-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGGISON",
        "first_name": "JAY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1417964388",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417964388",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.