Organization Active NPI

Chirocare of Athens

  • Chiropractor
  • Athens, AL
National Provider Identifier
1619095312
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2075 Issued in AL
Legal business name
CHIROCARE OF ATHENS
Practice address
27453 Capshaw Rd Ste B
Athens, AL 35613-7511
Phone
(256) 216-1006
NPI assigned
Mar 27, 2007
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
Michael HedgepethNPI 1588745947
Title
Owner
Phone
(256) 216-1006

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2075 AL Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2073 AL

Addresses

Primary practice location

27453 Capshaw Rd Ste B
Athens, AL 35613-7511

Mailing address

27453 Capshaw Rd Ste B
Athens, AL 35613-7511

Other identifiers 4

IdentifierTypeStateIssuer
51520085OtherALDR. LORIE BCBS#
1588745947OtherALDR.MICHAEL NPI #
1124109582OtherALDR. LORIE NPI#
51520086OtherALDR. MICHAEL BCBS#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420001225 AL Part B Supplier - Clinic/Group Practice 6901891696 Receives reassigned benefits from 1 practitioner
Practice locations: Harvest, AL

National Provider Directory

National Provider Directory

Locations

1221C Kelli Dr
Athens, AL 35613
Phone (256) 216-1006

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619095312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27453 CAPSHAW RD STE B",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356137511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27453 CAPSHAW RD STE B",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356137511",
            "telephone_number": "256-216-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROCARE OF ATHENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEDGEPETH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-216-1006"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2075",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2073",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. LORIE BCBS#",
            "identifier": "51520085",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR.MICHAEL NPI #",
            "identifier": "1588745947",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. LORIE NPI#",
            "identifier": "1124109582",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. MICHAEL BCBS#",
            "identifier": "51520086",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, 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.