Individual provider Active NPI

Jill Pivnick Downey, D.C.

  • Chiropractor
  • Yadkinville, NC
National Provider Identifier
1801801147
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4175 Issued in NC
Practice address
204 N State St
Yadkinville, NC 27055-5371
Phone
(336) 679-8500
Fax
(336) 677-8536
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 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 4175 NC Primary

Addresses

Primary practice location

204 N State St
Yadkinville, NC 27055-5371

Mailing address

PO Box 614
Yadkinville, NC 27055-0614
Phone (336) 679-8500

Other names 1

  • Dr. Jill Michelle Pivnick Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150414001769 NC Practitioner - Chiropractic 6608878152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 N State St
Yadkinville, NC 27055-5371
Phone (336) 679-8500

PO Box
Suite 614
Yadkinville, NC 27055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1787TNMDMassage Therapist
4175NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yadkinville Chiropractic Center Chiropractor CurrentSince Mar 1, 2015 Accepting new patients
Yadkinville Chiropractic DC PA Chiropractor PastSince Jul 1, 2002 Accepting new patients
Crossroads Chiropractic Center, Inc. Chiropractor Past Accepting new patients

Locations

204 N State St
Yadkinville, NC 27055
Phone (336) 679-8500

Organizations & group practices 3

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1801801147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 614",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270550614",
            "telephone_number": "336-679-8500",
            "fax_number": "336-677-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N STATE ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270555371",
            "telephone_number": "336-679-8500",
            "fax_number": "336-677-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNEY",
        "first_name": "JILL",
        "middle_name": "PIVNICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "PIVNICK",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yadkinville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.