Individual provider Active NPI

Douglas Grant Charles, D.C.

  • Chiropractor
  • Vestavia, AL
National Provider Identifier
1699829432
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1308 Issued in AL
Practice address
600 Vestavia Pkwy
Ste. 231
Vestavia, AL 35216-3756
Phone
(205) 979-7747
Fax
(205) 979-7741
NPI assigned
Jan 22, 2007
Last updated
Oct 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1308 AL Primary

Addresses

Primary practice location

600 Vestavia Pkwy
Ste. 231
Vestavia, AL 35216-3756

Mailing address

600 Vestavia Pkwy
Suite 231
Vestavia Hills, AL 35216-7715
Phone (205) 979-7747

Other identifiers 1

IdentifierTypeStateIssuer
01384OtherALBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111202000514 AL Practitioner - Chiropractic 7416122452

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Century Park S
Suite 120
Vestavia Hills, AL 35226-3922
Phone (205) 979-7747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1308ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Align & Thrive Chiropractic LLC Chiropractor PastSince Jul 28, 2025 Accepting new patients

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1699829432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 VESTAVIA PKWY",
            "address_2": "SUITE 231",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352167715",
            "telephone_number": "205-979-7747",
            "fax_number": "205-979-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 VESTAVIA PKWY",
            "address_2": "STE. 231",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163756",
            "telephone_number": "205-979-7747",
            "fax_number": "205-979-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "DOUGLAS",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01384",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.