Active NPI
James Womick, DC
- Sports Physician Chiropractor
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 0104557816
- Practice address
- 111 W Virginia Beach Blvd
Norfolk, VA 23510-2005 - Phone
- (757) 623-7776
- NPI assigned
- Jun 15, 2007
- Last updated
- Feb 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 038-007498 | IL | |
| Sports Physician Chiropractor | 111NS0005X | 0104557816 | VA | Primary |
Addresses
Primary practice location
111 W Virginia Beach Blvd
Norfolk, VA 23510-2005
Mailing address
10519 Highway 149
PO Box 1649
Murphysboro, IL 62966-3310
Other practice location 1
10519 Highway 149
Murphysboro, IL 62966-3310
Phone (618) 687-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350046774 | Other | IL | RR MEDICARE |
| 3921560 | Other | IL | BLUE CROSS BLUE SHIELD |
| 038007498 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, VA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-007498 | IL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of Illinois Medical PC | Current | Accepting new patients | |
| Balance Wellspace Integrative Medicine, Inc. | Current | Accepting new patients | |
| Premise Health of Illinois Medical PC | Current | Accepting new patients | |
| Premise Health of Illinois Medical PC | Current | Accepting new patients | |
| Morningstar Chiropractic & Rehabilitation Center LTD | Current | Accepting new patients |
Locations
16906 Collection Ctr Dr
Chicago, IL 60693
6150 Joliet Rd
Countryside, IL 60525
Phone (708) 485-2273
3733 S State Route 159
Glen Carbon, IL 62034
Phone (618) 288-8090
2266 Madison Ave
Granite City, IL 62040
Phone (618) 288-8090
5500 Maryland Way
Ste 120
Brentwood, TN 37027
2725 Market St
Christiansburg, VA 24073
Phone (540) 343-0055
2522 Colonial Ave SW
Roanoke, VA 24015
Phone (540) 343-0055
Organizations & group practices 5
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Roanoke, VA
- NPI 1164966446
-
dba Mount Vernon Health Center Mt Vernon
- Primary Care Clinic/Center
- Mount Vernon, IL
- NPI 1427366921
-
- Chiropractor
- Glen Carbon, IL
- NPI 1467460733
-
dba Operator's Health Center
- Multi-Specialty Clinic/Center
- Countryside, IL
- NPI 1083006001
-
dba MCL Health Center - Utica
- Multi-Specialty Clinic/Center
- Utica, IL
- NPI 1295518868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1609071281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10519 HIGHWAY 149",
"address_2": "PO BOX 1649",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "629663310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W VIRGINIA BEACH BLVD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235102005",
"telephone_number": "757-623-7776"
}
],
"practiceLocations": [
{
"address_1": "10519 Highway 149",
"address_purpose": "LOCATION",
"city": "Murphysboro",
"state": "IL",
"postal_code": "629663310",
"country_code": "US",
"telephone_number": "618-687-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOMICK",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-15",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": "038-007498",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "VA",
"license": "0104557816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "350046774",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3921560",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038007498",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.