Active NPI
Douglas Grant Charles, D.C.
- Chiropractor
- Vestavia, AL
National Provider Identifier
1699829432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1308
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01384 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1308 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align & Thrive Chiropractic LLC | Chiropractor | Past | 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.
-
- Medical Specialty Clinic/Center
- Vestavia Hills, AL
- NPI 1083981070
-
- Chiropractor
- Vestavia Hills, AL
- NPI 1255213146
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.