NPIMap

Organization Active NPI

Jackson Pierce DC, PC

  • Chiropractor
  • Scottsboro, AL
National Provider Identifier
1508565789
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JACKSON PIERCE DC, PC
Doing business as
PIERCE & PIERCE CHIROPRACTIC
Practice address
624 E Willow St
Scottsboro, AL 35768-2004
Phone
(256) 574-2638
NPI assigned
Feb 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Dr. Jackson Pierce, DCNPI 1013614825
Title
Chiropractor
Phone
(256) 574-2638

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

624 E Willow St
Scottsboro, AL 35768-2004

Mailing address

624 E Willow St
Scottsboro, AL 35768-2004
Phone (256) 574-2638

Other names 1

  • PIERCE & PIERCE CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230906002881 AL Part B Supplier - Clinic/Group Practice 0648634840 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsboro, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1508565789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 E WILLOW ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682004",
            "telephone_number": "256-574-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E WILLOW ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682004",
            "telephone_number": "256-574-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON PIERCE DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "256-574-2638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIERCE & PIERCE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.