Jimmy Wayne Weatherley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1696 Issued in AR

Practice address

2665 Donaghey Ave
Suite 104
Conway, AR 72032-2317

Phone

(501) 470-8033

NPI assigned

May 24, 2007

Last updated

Mar 2, 2017By the provider in NPPES

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 AR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dr. Jim Weatherley, D.C., P.a.

  dba Natural State Clinic of Chiropractic

  • Chiropractor
  • Conway, AR
  • NPI 1669658647
  Medicare reassignment NPD

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1740491448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 DONAGHEY AVE",
            "address_2": "STE 104",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322317",
            "telephone_number": "501-327-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 DONAGHEY AVE",
            "address_2": "SUITE 104",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322317",
            "telephone_number": "501-470-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERLEY",
        "first_name": "JIMMY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leann Watson, LPC
• Marla Watson, MS CCC-SLP
• Tamara Watson, OTRL
• Lauren Watts, LPC
• Mary Claire Watts
• Jennifer Weaver, D.D.S.
• Judy Weaver
• Mattison Marie Weaver, ATC
• Lillie Jane Webb
• Mary A Webb

• Chiropractor in Conway, AR
• Providers in Conway, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.