Individual provider Active NPI

Sophocles Michael Athanason, D.C.

  • Chiropractor
  • Ocala, FL
National Provider Identifier
1437594561
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10838 Issued in FL
Practice address
3108 SE 7TH St
Ocala, FL 34471-2873
Phone
(352) 624-0665
NPI assigned
May 2, 2013
Last updated
May 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10838 FL Primary

Addresses

Primary practice location

3108 SE 7TH St
Ocala, FL 34471-2873

Mailing address

3108 SE 7TH St
Ocala, FL 34471-2873

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130709000761 FL Practitioner - Chiropractic 8527208883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fakhoury Medical and Chiropractic Center PLLCGroup PAC ID 8628116464, 7 clinicians

Practice addresses (Care Compare)

1009 SW 16TH Lane
Ocala, FL 34471-1229
Phone (352) 351-3413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Chiropractic and Wellness Center PA Chiropractor CurrentSince May 31, 2013 Accepting new patients
Fakhoury Medical & Chiropractic Center PLLC Chiropractor CurrentSince Sep 23, 2013 Accepting new patients

Locations

1007 SW 1st Ave
Ocala, FL 34471
Phone (352) 732-2745

1009 SW 17th St
Ocala, FL 34471
Phone (352) 351-3413

8484 SW 103rd Street Rd
Ocala, FL 34481
Phone (352) 732-2745

Organizations & group practices 2

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": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1437594561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 SE 7TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 SE 7TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712873",
            "telephone_number": "352-624-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHANASON",
        "first_name": "SOPHOCLES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.