Individual provider Active NPI

Mark Joel Workman, D.C.

  • Chiropractor
  • Cary, NC
National Provider Identifier
1912975616
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3222 Issued in NC
Practice address
208 Ashville Ave
Suite 30
Cary, NC 27518-6678
Phone
(919) 851-0980
Fax
(919) 851-0071
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3222 NC Primary

Addresses

Primary practice location

208 Ashville Ave
Suite 30
Cary, NC 27518-6678

Mailing address

208 Ashville Ave
Suite 30
Cary, NC 27518-6678
Phone (919) 851-0980

Other identifiers 2

IdentifierTypeStateIssuer
085P1OtherNCBLUE CROSS
89085P1MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000584 NC Practitioner - Chiropractic 7416914643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Specific Chiropractic, Inc.Group PAC ID 0143283606, 2 clinicians

Practice addresses (Care Compare)

7721 Six Forks Rd
Suite 138
Raleigh, NC 27615-5014
Phone (919) 846-7004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3222NCMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Specific Chiropractic, Inc. Chiropractor CurrentSince Dec 1, 2023 Accepting new patients
Spinecare Chiropractic Center, P.C. Chiropractor Past Accepting new patients

Locations

7721 Six Forks Rd
Ste 138
Raleigh, NC 27615
Phone (919) 846-7004

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1912975616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 ASHVILLE AVE",
            "address_2": "SUITE 30",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186678",
            "telephone_number": "919-851-0980",
            "fax_number": "919-851-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 ASHVILLE AVE",
            "address_2": "SUITE 30",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186678",
            "telephone_number": "919-851-0980",
            "fax_number": "919-851-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "MARK",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "085P1",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085P1",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.