Andrew Lee Kellogg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009681 Issued in MI

Practice address

2499 W High St
Jackson, MI 49203-2770

Phone

(517) 783-5525

NPI assigned

Jun 10, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Posture and Scoliosis Institute LLC

  • Chiropractor
  • Sarasota, FL
  • NPI 1245921311
  Medicare reassignment NPD Authorized official
• Functional Health PC

  • Chiropractor
  • Jackson, MI
  • NPI 1306940788
  NPD (past)

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1972823136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 INTERSTATE BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408409",
            "telephone_number": "517-499-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 W HIGH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032770",
            "telephone_number": "517-783-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "ANDREW",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry J Keatley, D.C.
• Robin Lucasta Keefer Brigham, PA-C
• Johanna L Keller
• Martha Catherine Kelley, CSW
• Tamara Jo Kelley, NP-C
• Marissa Kells, M.M., MT-BC
• Eric G Kelly, LLMSW
• Gwenda J Kelly, L.L.P.C
• Kathryn A Kelly, CRNA
• Lazeric Kelly

• All providers in Jackson, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.