Organization Active NPI

N. Frank McCreless PC

  • Rehabilitation Chiropractor
  • Double Springs, AL
National Provider Identifier
1952441925
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
1853 Issued in AL
Legal business name
N. FRANK MCCRELESS PC
Practice address
25179 Highway 195
Double Springs, AL 35553
Phone
(205) 489-3393
Fax
(205) 489-5259
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Nickey Frank McCreless II, DC
Title
Owner Chiropractor
Phone
(205) 489-3393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 1853 AL Primary

Addresses

Primary practice location

25179 Highway 195
Double Springs, AL 35553

Mailing address

PO Box 514
Double Springs, AL 35553-0514
Phone (205) 489-3393

Other identifiers 1

IdentifierTypeStateIssuer
051077806OtherALBLUE SHIELD PROVIDER NUMB

Other names 1

  • Winston County Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090108000401 AL Part B Supplier - Clinic/Group Practice 1153484787 Practice locations: Double Springs, AL

National Provider Directory

National Provider Directory

Locations

2691 Sandlin Rd SW
Ste A1
Decatur, AL 35601
Phone (256) 353-1916

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1952441925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "city": "DOUBLE SPRINGS",
            "state": "AL",
            "postal_code": "355530514",
            "telephone_number": "205-489-3393",
            "fax_number": "205-489-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25179 HIGHWAY 195",
            "city": "DOUBLE SPRINGS",
            "state": "AL",
            "postal_code": "35553",
            "telephone_number": "205-489-3393",
            "fax_number": "205-489-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N. FRANK MCCRELESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "MCCRELESS",
        "authorized_official_first_name": "NICKEY",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "205-489-3393",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AL",
            "license": "1853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "051077806",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winston County Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Double Springs, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.