Individual provider Active NPI

Hugh Clifton Atwell, D.C.

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1508825399
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8186 Issued in FL
Practice address
3257 SE Salerno Rd
Suite 3
Stuart, FL 34997-6736
Phone
(772) 286-5277
Fax
(772) 286-9478
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 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 CH8186 FL Primary

Addresses

Primary practice location

3257 SE Salerno Rd
Suite 3
Stuart, FL 34997-6736

Mailing address

3257 SE Salerno Rd
Suite 3
Stuart, FL 34997-6736
Phone (772) 286-5277

Other identifiers 3

IdentifierTypeStateIssuer
7741064OtherFLAETNA
381514500MedicaidFL
70166OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070726000119 FL Practitioner - Chiropractic 7113028762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Medical and Wellness Center, PLLCGroup PAC ID 1254470487, 3 clinicians

Practice addresses (Care Compare)

3257 SE Salerno Rd
Unit 3
Stuart, FL 34997-6740
Phone (772) 286-5277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical & Wellness Center, PLLC Chiropractor CurrentSince Jul 14, 2009 Accepting new patients
Retinovitreous Associates LTD PastSince Jul 14, 2009 Accepting new patients

Locations

3257 SE Salerno Rd
Unit 3
Stuart, FL 34997
Phone (772) 286-5277

4408 SE Commerce Ave
Stuart, FL 34997
Phone (772) 285-5277

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1508825399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 SE SALERNO RD",
            "address_2": "SUITE 3",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976736",
            "telephone_number": "772-286-5277",
            "fax_number": "772-286-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 SE SALERNO RD",
            "address_2": "SUITE 3",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976736",
            "telephone_number": "772-286-5277",
            "fax_number": "772-286-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWELL",
        "first_name": "HUGH",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7741064",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381514500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70166",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

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