Individual provider Active NPI

Earvin Lindsey, DC

  • Chiropractor
  • Northport, AL
National Provider Identifier
1790762151
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1801 Issued in AL
Practice address
2315 Lurleen B Wallace Blvd
Northport, AL 35476-3947
Phone
(205) 339-0001
Fax
(205) 339-0020
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1801 AL Primary

Addresses

Primary practice location

2315 Lurleen B Wallace Blvd
Northport, AL 35476-3947

Mailing address

2315 Lurleen B Wallace Blvd
Northport, AL 35476
Phone (205) 339-0001

Other identifiers 2

IdentifierTypeStateIssuer
350049772OtherRAIL ROAD MEDICARE
7813719001OtherCIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070907000621 AL Practitioner - Chiropractic 8022101963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2315 Lurleen B Wallace Blvd
Northport, AL 35476-3947
Phone (205) 339-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1801ALMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Chiropractic & Spine Care, Inc. Chiropractor CurrentSince Aug 1, 2007 Accepting new patients
Agee Chiropractic, P.C. Chiropractor PastSince Oct 18, 1995 Accepting new patients

Locations

2315 Lurleen B Wallace Blvd
Northport, AL 35476
Phone (205) 330-9898

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1790762151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 LURLEEN B WALLACE BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "35476",
            "telephone_number": "205-339-0001",
            "fax_number": "205-339-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 LURLEEN B WALLACE BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763947",
            "telephone_number": "205-339-0001",
            "fax_number": "205-339-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "EARVIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "350049772",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7813719001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.