Organization Active NPI

Scottsboro Chiropractic Clinic P.C.

  • Chiropractor
  • Scottsboro, AL
National Provider Identifier
1568525103
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SCOTTSBORO CHIROPRACTIC CLINIC P.C.
Practice address
201 Veterans Dr Ste 106
Scottsboro, AL 35768-2167
Phone
(256) 259-3771
Fax
(256) 259-3779
NPI assigned
Dec 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Jessie Higginbotham, D.C.NPI 1376618108
Title
President
Phone
(256) 259-3771

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

201 Veterans Dr Ste 106
Scottsboro, AL 35768-2167

Mailing address

189 Bonaire Dr
Huntsville, AL 35811-7812
Phone (256) 698-1781

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070315000159 AL Part B Supplier - Clinic/Group Practice 6709989569 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsboro, AL

National Provider Directory

National Provider Directory

Locations

201 Veterans Dr
Ste 106
Scottsboro, AL 35768
Phone (256) 259-3771

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568525103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 BONAIRE DR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358117812",
            "telephone_number": "256-698-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 VETERANS DR STE 106",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682167",
            "telephone_number": "256-259-3771",
            "fax_number": "256-259-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSBORO CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIGGINBOTHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JESSIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-259-3771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.