Individual provider Active NPI

Tracy Ann Keefer, D.C.

  • Chiropractor
  • Jacksonville, NC
National Provider Identifier
1477604783
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3641 Issued in NC
Practice address
521 Yopp Rd Ste 107
Jacksonville, NC 28540-3597
Phone
(910) 333-9723
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3641 NC Primary

Addresses

Primary practice location

521 Yopp Rd Ste 107
Jacksonville, NC 28540-3597

Mailing address

521 Yopp Rd
Ste 214 PMB 308
Jacksonville, NC 28540
Phone (910) 333-9723

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070427000430 NC Practitioner - Chiropractic 7214033844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

521 Yopp Rd
Suite 107
Jacksonville, NC 28540-3597
Phone (910) 333-9723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3641NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keefer Chiropractic Center, a Professional Corporation Chiropractor CurrentSince Apr 8, 2011 Accepting new patients
Schilsky Chiropractic Center PA Chiropractor Past Accepting new patients
Sprague, PLLC Chiropractor Past Accepting new patients

Locations

521 Yopp Rd
Ste 107
Jacksonville, NC 28540
Phone (910) 333-9723

521 Yopp Rd
Ste 214
Jacksonville, NC 28540
Phone (910) 333-9723

Organizations & group practices 3

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1477604783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 YOPP RD",
            "address_2": "STE 214 PMB 308",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28540",
            "telephone_number": "910-333-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 YOPP RD STE 107",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403597",
            "telephone_number": "910-333-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFER",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.