John Warren Jackson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1977 Issued in AL

Practice address

4072 Sullivan St
Suite D
Madison, AL 35758-1732

Phone

(256) 464-9067

Fax

(256) 464-9160

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bailey Chiropractic Clinic PCGroup PAC ID 8224055306, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bailey Chiropractic Clinic PC

  • Chiropractor
  • Madison, AL
  • NPI 1245383686
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1669446720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HONOR WAY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357586280",
            "telephone_number": "256-325-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4072 SULLIVAN ST",
            "address_2": "SUITE D",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581732",
            "telephone_number": "256-464-9067",
            "fax_number": "256-464-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JOHN",
        "middle_name": "WARREN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franca Atuaje Isename, NP
• Jordan Keeley Ivey, MD
• J W Burns LLC (A Plus Medical Equipment & Supplies)
• Jackson Counseling Solutions, LLC
• Ambrea Dionne Jackson
• Keyley Lynne Jackson, DPT
• Sarah Whitney Jackson
• Jagani Vision Associates
• Sunita Jagani, O.D
• Hayley Jager, PA-C

• Chiropractor in Madison, AL
• Providers in Madison, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.