Individual provider Active NPI

Meredith I Addess, DC

  • Chiropractor
  • Spanish Fort, AL
National Provider Identifier
1609282292
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2427 Issued in AL
Practice address
10179 Eastern Shore Dr
Spanish Fort, AL 36527-3302
Phone
(251) 625-4777
NPI assigned
Jul 3, 2014
Last updated
Sep 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2427 AL Primary

Addresses

Primary practice location

10179 Eastern Shore Dr
Spanish Fort, AL 36527-3302

Mailing address

10179 Eastern Shore Dr
Ste 102
Spanish Fort, AL 36527-3302
Phone (251) 625-4777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140915000298 AL Practitioner - Chiropractic 6608886809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10179 Eastern Shore Dr
Suite 102
Spanish Fort, AL 36527-3303
Phone (251) 625-4777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2427ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Malbis Chiropractic, LLC Chiropractor CurrentSince Jul 28, 2014 Accepting new patients
Publix Alabama, LLC Past Accepting new patients

Locations

10179 Eastern Shore Dr
Ste 102
Spanish Fort, AL 36527
Phone (205) 746-7183

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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1609282292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10179 EASTERN SHORE DR",
            "address_2": "STE 102",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365273302",
            "telephone_number": "251-625-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10179 EASTERN SHORE DR",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365273302",
            "telephone_number": "251-625-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDESS",
        "first_name": "MEREDITH",
        "middle_name": "I",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.