Individual provider Active NPI

Jeffrey Don Kerby

  • Sports Physician Chiropractor
  • Huntsville, AL
National Provider Identifier
1538719968
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2086 Issued in AL
Practice address
115 Shawnee Dr NW
Huntsville, AL 35806-1747
Phone
(512) 731-3866
NPI assigned
Sep 17, 2019
Last updated
Sep 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 2086 AL Primary

Addresses

Primary practice location

115 Shawnee Dr NW
Huntsville, AL 35806-1747

Mailing address

115 Shawnee Dr NW
Huntsville, AL 35806-1747
Phone (512) 731-3866

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address director@arktothenations.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050526001076 AL Practitioner - Chiropractic 0749222370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 Hughes Rd
Suite 1
Madison, AL 35758-1144
Phone (256) 325-1666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2086ALMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ark Associates Inc. CurrentSince Jan 19, 2023 Accepting new patients
Millar Chiropractic Associates, Inc. PastSince Aug 13, 2021 Accepting new patients

Locations

2006 Memorial Pkwy SW
Huntsville, AL 35801
Phone (256) 489-9355

401 Hughes Rd
Ste 1
Madison, AL 35758
Phone (256) 325-1222

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, 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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1538719968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SHAWNEE DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061747",
            "telephone_number": "512-731-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SHAWNEE DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061747",
            "telephone_number": "512-731-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBY",
        "first_name": "JEFFREY",
        "middle_name": "DON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AL",
            "license": "2086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "director@arktothenations.com",
            "affiliation": "N",
            "endpointDescription": "website email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "115 Shawnee Dr NW",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358061747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.