Organization Active NPI

1 Life Neurology Center

  • Neurology Physician
  • Muscle Shoals, AL
National Provider Identifier
1972171536
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.