Individual provider Active NPI

Sherman Len Connell, D.C.

  • Chiropractor
  • Madison, AL
National Provider Identifier
1831225523
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2462 Issued in AL
Practice address
401 Hughes Rd Ste 1
Madison, AL 35758
Phone
(256) 325-1222
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2462 AL Primary

Addresses

Primary practice location

401 Hughes Rd Ste 1
Madison, AL 35758

Mailing address

401 Hughes Rd Ste 1
Madison, AL 35758-1144
Phone (256) 325-1222

Other identifiers 1

IdentifierTypeStateIssuer
51170190OtherALBLUE CROSS BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2462ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Spine and Rehab Center, PLLC Single Specialty CurrentSince Sep 18, 2017 Accepting new patients
Cole Chiropractic Center Chiropractor Past Accepting new patients
Cole Chiropractic Center Chiropractor PastSince Feb 10, 2010 Accepting new patients
Aligned Chiropractic, Inc Chiropractor Past Accepting new patients

Locations

8132 Cordova Rd
Ste 102
Cordova, TN 38016
Phone (901) 751-0939

Organizations & group practices 4

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1831225523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HUGHES RD STE 1",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581144",
            "telephone_number": "256-325-1222",
            "fax_number": "256-325-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HUGHES RD STE 1",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "35758",
            "telephone_number": "256-325-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "SHERMAN",
        "middle_name": "LEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "51170190",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.