Active NPI
Jamie L Kirgis, D.C.
- Chiropractor
- Columbia City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001982A
- Practice address
- 695 N Opportunity Dr
Columbia City, IN 46725-1041 - Phone
- (260) 244-3665
- Fax
- (260) 248-4496
- NPI assigned
- Feb 12, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001982A | IN | Primary |
Addresses
Primary practice location
695 N Opportunity Dr
Columbia City, IN 46725-1041
Mailing address
1325 E Greenbriar Dr
Columbia City, IN 46725-8622
Phone (260) 248-2194
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00152266 | Other | IN | PALMETTO GBA M |
| 200432250 | Medicaid | IN | |
| 2919344 | Other | IN | ALLIED BENEFITS |
| 7437258 | Other | IN | AETNA |
| P00152266 | Other | IN | RR MEDICARE |
| 000000336368 | Other | IN | IN BLUE SHIELD ANTHEM |
| 214620B | Other | IN | APWU HEALTH PLAN |
| 214620B | Other | IN | HUMANA CLAIMS |
| 214620B | Other | IN | MEDICARE COMPLETE ESSNTL |
| 200432250 | Other | IN | MANAGED HEALTH SERVICE IN |
| 214620B | Other | IN | SECURE HORIZONS DIRECT |
| 214620B | Other | IN | UNICARE PFFS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
695 N Opportunity Dr
Columbia City, IN 46725-1041
Phone (260) 244-3665
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001982A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitley Chiropractic & Wellness Center | Chiropractor | Current | Accepting new patients |
| Health Centered of Scottsburg, Inc | Chiropractor | Past | Accepting new patients |
| Health Centered Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
695 N Opportunity Dr
Columbia City, IN 46725
Phone (260) 244-3665
6242 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 244-3665
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.
-
- Chiropractor
- Columbia City, IN
- NPI 1033167432
-
- Chiropractor
- Scottsburg, IN
- NPI 1437224680
-
- Chiropractor
- Scottsburg, IN
- NPI 1023344595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1487795399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 E GREENBRIAR DR",
"city": "COLUMBIA CITY",
"state": "IN",
"postal_code": "467258622",
"telephone_number": "260-248-2194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 N OPPORTUNITY DR",
"city": "COLUMBIA CITY",
"state": "IN",
"postal_code": "467251041",
"telephone_number": "260-244-3665",
"fax_number": "260-248-4496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRGIS",
"first_name": "JAMIE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001982A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA M",
"identifier": "P00152266",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200432250",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIED BENEFITS",
"identifier": "2919344",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7437258",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00152266",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN BLUE SHIELD ANTHEM",
"identifier": "000000336368",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APWU HEALTH PLAN",
"identifier": "214620B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA CLAIMS",
"identifier": "214620B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE COMPLETE ESSNTL",
"identifier": "214620B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH SERVICE IN",
"identifier": "200432250",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURE HORIZONS DIRECT",
"identifier": "214620B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE PFFS",
"identifier": "214620B",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia City, IN
- Johnson Memorial Hospital (The Waters of Columbia City Skilled Nursing Facility)
- JT Counseling Group, LLC
- Baily Michele Kakalia, MSN, FNP
- Natalie N Keen
- Scott Patrick Keillor, PHARMD
- Lori M Kirgis, D.C.
- Amanda Knowles
- Paritosh Sudhakar Kolhe
- Amanda J Korn, NP
- Kroger Limited Partnership I (Kroger Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.