Individual provider Active NPI

Courtney Griffin Neill, D.C.

  • Chiropractor
  • Beverly, MA
National Provider Identifier
1932369014
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3197 Issued in MA
Practice address
131 Dodge St
Beverly, MA 01915-2048
Phone
(978) 810-6799
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3197 MA Primary

Addresses

Primary practice location

131 Dodge St
Beverly, MA 01915-2048

Mailing address

131 Dodge St
Beverly, MA 01915-2048
Phone (617) 645-0200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080925000387 MA Practitioner - Chiropractic 5799852208 Reassigns benefits to 1 organization
Practice locations: Beverly, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundations Family Chiropractic IncGroup PAC ID 6002221421, 2 clinicians

Practice addresses (Care Compare)

131 Dodge St
Beverly, MA 01915-2048
Phone (978) 810-6799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3197MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Family Chiropractic, Inc. CurrentSince Jul 29, 2020 Accepting new patients
Hamilton-Wenham Family Chiropractic Chiropractor PastSince Jul 1, 2008 Accepting new patients

Locations

131 Dodge St
Beverly, MA 01915
Phone (978) 290-6000

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1932369014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 DODGE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152048",
            "telephone_number": "617-645-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 DODGE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152048",
            "telephone_number": "978-810-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILL",
        "first_name": "COURTNEY",
        "middle_name": "GRIFFIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.