Grayson Keith Phillips, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2489 Issued in AL

Practice address

600 Main St
Suite 107
Gardendale, AL 35071-4675

Phone

(205) 631-8808

Fax

(205) 631-8832

NPI assigned

May 2, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phillips Family Chiropractic LLC

  • Chiropractor
  • Gardendale, AL
  • NPI 1225488083
  Medicare reassignment NPD Authorized official
• Brandon Clinic LLC

  • Chiropractor
  • Gardendale, AL
  • NPI 1467518217
  NPD (past)

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1497100010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAIN ST",
            "address_2": "STE 107",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713649",
            "telephone_number": "205-631-8808",
            "fax_number": "205-631-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAIN ST",
            "address_2": "SUITE 107",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350714675",
            "telephone_number": "205-631-8808",
            "fax_number": "205-631-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GRAYSON",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI # FOR GRAYSON PHILLIPS",
            "identifier": "1497100010",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI # FOR GRAYSON PHILLIPS",
            "identifier": "1225488083",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Pence
• Kelly Pendleton, RD
• Luz Marina Perez, MPT
• Phillips Family Chiropractic LLC
• Denise P Phillips
• Meghan Tiffany Phillips
• Monica Ann Phyfer
• Physiotherapy Associates Inc
• Leah Jackson Pierce, PHARMD
• J W Pitts Jr., M.D.

• Chiropractor in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.