Individual provider Active NPI

Jessica Griffin

  • Chiropractor
  • Tuscaloosa, AL
National Provider Identifier
1659836815
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2593 Issued in AL
Practice address
1800 McFarland Blvd E Ste 340
Tuscaloosa, AL 35404-5882
Phone
(205) 345-8102
NPI assigned
Feb 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2593 AL Primary

Addresses

Primary practice location

1800 McFarland Blvd E Ste 340
Tuscaloosa, AL 35404-5882

Mailing address

104 Warrior Way
Akron, AL 35441-2950
Phone (317) 709-3125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190502001539 AL Practitioner - Chiropractic 7113269697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Sport Chiropractic, IncGroup PAC ID 6901833383, 4 clinicians

Practice addresses (Care Compare)

1435 2ND CT E
Tuscaloosa, AL 35401-3276
Phone (205) 345-8102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2593ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Sport Chiropractic, Inc Chiropractor CurrentSince Feb 5, 2019 Accepting new patients

Locations

1800 McFarland Blvd E
Ste 340
Tuscaloosa, AL 35404
Phone (205) 345-8102

1435 2nd Ct E
Tuscaloosa, AL 35401
Phone (205) 345-8102

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1659836815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WARRIOR WAY",
            "city": "AKRON",
            "state": "AL",
            "postal_code": "354412950",
            "telephone_number": "317-709-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MCFARLAND BLVD E STE 340",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045882",
            "telephone_number": "205-345-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.