Active NPI
1 Life Neurology Center
- Neurology Physician
- Muscle Shoals, AL
National Provider Identifier
1972171536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- 1 LIFE NEUROLOGY CENTER
- Practice address
- 1919 Woodward Ave
Muscle Shoals, AL 35661-2845 - Phone
- (256) 898-6190
- Fax
- (256) 898-6191
- NPI assigned
- Jun 11, 2021
- Last updated
- Dec 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric J Jenkie, D.O.
- Title
- President
- Phone
- (256) 898-6190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | Primary |
Addresses
Primary practice location
1919 Woodward Ave
Muscle Shoals, AL 35661-2845
Mailing address
1919 Woodward Ave
Muscle Shoals, AL 35661-2845
Phone (256) 898-6190
National Provider Directory
National Provider DirectoryLocations
1919 Woodward Ave
Muscle Shoals, AL 35661
Phone (256) 383-1112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640649600000",
"number": "1972171536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 WOODWARD AVE",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356612845",
"telephone_number": "256-898-6190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 WOODWARD AVE",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356612845",
"telephone_number": "256-898-6190",
"fax_number": "256-898-6191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1 LIFE NEUROLOGY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-11",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A",
"authorized_official_last_name": "JENKIE",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-898-6190",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muscle Shoals, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.