Organization Active NPI

Leeds Family Chiropractic Inc

  • Chiropractor
  • Leeds, AL
National Provider Identifier
1437454337
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2324 Issued in AL
Legal business name
LEEDS FAMILY CHIROPRACTIC INC
Practice address
1101 Higrove Pkwy
Suite 113
Leeds, AL 35094-1700
Phone
(205) 699-6600
Fax
(866) 398-9574
NPI assigned
Jan 24, 2011
Last updated
Jan 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Mrs. Jill K Palma, D.CNPI 1497181952
Title
General Partner
Phone
(205) 699-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2324 AL Primary

Addresses

Primary practice location

1101 Higrove Pkwy
Suite 113
Leeds, AL 35094-1700

Mailing address

1101 Higrove Pkwy
Suite 113
Leeds, AL 35094-1700
Phone (205) 699-6600

Other identifiers 1

IdentifierTypeStateIssuer
2324OtherALALABAMA STATE BOARD OF CHIROPRACTIC EXAMINERS LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120319000042 AL Part B Supplier - Clinic/Group Practice 1254590813 Receives reassigned benefits from 2 practitioners
Practice locations: Leeds, AL

National Provider Directory

National Provider Directory

Locations

1101 Higrove Pkwy
Ste 113
Leeds, AL 35094
Phone (205) 699-6600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1437454337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HIGROVE PKWY",
            "address_2": "SUITE 113",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350941700",
            "telephone_number": "205-699-6600",
            "fax_number": "866-398-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HIGROVE PKWY",
            "address_2": "SUITE 113",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350941700",
            "telephone_number": "205-699-6600",
            "fax_number": "866-398-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEDS FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "PALMA",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "205-699-6600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA STATE BOARD OF CHIROPRACTIC EXAMINERS LICENSE NUMBER",
            "identifier": "2324",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leeds, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.