Back and Neck Pain Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BACK AND NECK PAIN CLINIC, LLC

Practice address

321 Westgate Pkwy Ste 1
Dothan, AL 36303-3072

Phone

(850) 702-0898

NPI assigned

Jan 18, 2008

Organization subpart

No

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

Authorized official

Name

Elizabeth Davis

Title

Accounts Manager

Phone

(850) 866-3250

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Cary Alderman, D.C.

  • Sports Physician Chiropractor
  • Dothan, AL
  • NPI 1225147507
  Medicare reassignment Care Compare group NPD
• Garrett D Hall, D.C.

  • Chiropractor
  • Dothan, AL
  • NPI 1174821417
  Medicare reassignment Care Compare group NPD
• Michael Kevin Warren, D.C.

  • Chiropractor
  • Dothan, AL
  • NPI 1477673143
  Medicare reassignment Care Compare group NPD
• Hunter B Phillips, DC

  • Chiropractor
  • Dothan, AL
  • NPI 1932838091
  Medicare reassignment NPD
• Elyssa Waller, DC

  • Chiropractor
  • Marianna, FL
  • NPI 1265541536
  NPD (past)

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1841476926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 WESTGATE PKWY STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033072",
            "telephone_number": "850-702-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 WESTGATE PKWY STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033072",
            "telephone_number": "850-702-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK AND NECK PAIN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "850-866-3250"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "I511",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avita Drugs Alabama LLC
• Sai Avula, M.D.
• Djuliana Ayazifar, MD
• Mohammed Tashfiqul Azam
• B&W Medical Solutions LLC
• Fadi E Bader, MD
• David Walker Badham, O.D.
• Emmalyn Ann Bady-McDowell, MD
• Chris Bailey
• Crystal Bailey, CRNP

• Chiropractor in Dothan, AL
• Providers in Dothan, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.