Active NPI
Healthsource of Providence LLC
- Chiropractor
- Huntsville, AL
National Provider Identifier
1609123256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- HEALTHSOURCE OF PROVIDENCE LLC
- Practice address
- 485 Providence Main St NW Ste 100
Huntsville, AL 35806-4899 - Phone
- (256) 327-4900
- NPI assigned
- Aug 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Paul Lawrence, D.C.
- Title
- Owner/Chiropractor
- Phone
- (256) 221-0163
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
485 Providence Main St NW Ste 100
Huntsville, AL 35806-4899
Mailing address
485 Providence Main Street
Suite 100
Huntsville, AL 35806-2673
Phone (256) 221-0163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
129 US Highway 31 S
Ste 100
Athens, AL 35611
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Athens, AL
- NPI 1275713661
-
- Chiropractor
- Athens, AL
- NPI 1548543028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1609123256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 PROVIDENCE MAIN STREET",
"address_2": "SUITE 100",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358062673",
"telephone_number": "256-221-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 PROVIDENCE MAIN ST NW STE 100",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358064899",
"telephone_number": "256-327-4900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSOURCE OF PROVIDENCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-13",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "256-221-0163",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
- Healthgroup of Alabama
- Healthgroup of Alabama, LLC
- Healthplus Chiropractic, Inc.
- Healthsource Huntsville-the Rocket City LLC
- Healthsource of Huntsville, LLC
- Healthy Smiles PC
- Brooke A Healy, CRNA
- Hearing & Speech Clinic of Huntsville, Inc.
- Hearing & Speech Clinic of Huntsville, Inc.
- Hearmax-Affordable Hearing AIDS, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.