Individual provider Active NPI

Everett Tucker, D.C.

  • Chiropractor
  • Huntsville, AL
National Provider Identifier
1750753398
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2475 Issued in AL
Practice address
975 Airport Rd SW
Suite H
Huntsville, AL 35802-1392
Phone
(256) 964-6678
NPI assigned
Oct 22, 2015
Last updated
Oct 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2475 AL Primary

Addresses

Primary practice location

975 Airport Rd SW
Suite H
Huntsville, AL 35802-1392

Mailing address

975 Airport Rd SW
Suite H
Huntsville, AL 35802-1392
Phone (256) 964-6678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170208002579 NC Practitioner - Chiropractic 9537460282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Chiropractic and Decompression Center PCGroup PAC ID 9830087378, 2 clinicians

Practice addresses (Care Compare)

3831 W Market St
Greensboro, NC 27407-1301
Phone (336) 299-3037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4726NCMDCounselor
2475ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Chiropractic and Decompression Center, P.C. Chiropractor CurrentSince Sep 1, 2020 Accepting new patients
Triad Health Center Chiropractor CurrentSince Dec 19, 2016 Accepting new patients

Locations

2311 W Cone Blvd
Ste 228
Greensboro, NC 27408
Phone (336) 288-4677

3831 W Market St
Greensboro, NC 27407
Phone (336) 299-3037

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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1750753398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 AIRPORT RD SW",
            "address_2": "SUITE H",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021392",
            "telephone_number": "256-964-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 AIRPORT RD SW",
            "address_2": "SUITE H",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021392",
            "telephone_number": "256-964-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.