Individual provider Active NPI

Perry Doss Harrison, D.C.

  • Chiropractor
  • Pelham, AL
National Provider Identifier
1922340892
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2391 Issued in AL
Practice address
1974 Chandalar Dr Ste D
Pelham, AL 35124-1393
Phone
(205) 358-3515
Fax
(205) 358-3517
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2391 AL Primary

Addresses

Primary practice location

1974 Chandalar Dr Ste D
Pelham, AL 35124-1393

Mailing address

5803 Sweetbrier LN
Tuscaloosa, AL 35405-5658

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140613001557 AL Practitioner - Chiropractic 5698999621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2391ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Skelton Chiropractic Center, Inc Chiropractor CurrentSince Mar 4, 2017 Accepting new patients

Locations

2601 12th St
Tuscaloosa, AL 35401
Phone (205) 758-7158

Organizations & group practices 1

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1922340892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 SWEETBRIER LN",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354055658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 CHANDALAR DR STE D",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241393",
            "telephone_number": "205-358-3515",
            "fax_number": "205-358-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "PERRY",
        "middle_name": "DOSS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.