CHIROSOUTH SPINE AND SPORT LLC (NPI# 1205351863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205351863 |
| Entity Type | Organization |
| Organization Name | CHIROSOUTH SPINE AND SPORT LLC |
| Practice Address |
277 Mcgregor Ave S Mobile AL 36608-2340 |
| Mailing Address |
151 Fly Creek Ave Ste 411 Fairhope AL 36532-8308 |
| Practice Telephone | 2519908383 |
| Practice Fax Number | 2519908399 |
| Mailing Telephone | 8509908383 |
| Mailing Fax Number | 8509908399 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2017-08-04 |
| Authorized Official Name | DR. JUSTIN F SOUTHALL (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 8509908383 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2292 | AL | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | ChiroSouth Spine and Sport LLC | 277 South Mcgregor Avenue, Mobile, AL 36608 |
| Street Address |
277 MCGREGOR AVE S |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774999 | Nicholas Alan Brautigam | Chiropractor | 960 Schillinger Rd S, Suite D, Mobile, AL 36695 | 2020-06-10 |
| 1184251324 | Body Mind & Spine | Chiropractor | 960 Schillinger Rd S Ste D, Mobile, AL 36695-8977 | 2020-03-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1295387660 | Jordan William Moore | Chiropractor | 7921 Tanner Williams Rd Ste B, Mobile, AL 36608-8303 | 2019-07-15 |
| 1356811392 | Jeffrey Allen Young | Chiropractor | 4266 Cottage Hill Rd, Ste 4, Mobile, AL 36609-4277 | 2018-12-03 |
| 1871069427 | Abbie Lin Parrish | Chiropractor | 1110 Hillcrest Rd Ste 1f, Mobile, AL 36695-3954 | 2018-10-22 |
| 1447752167 | Trina Gail Clark | Chiropractor | 740 Schillinger Rd S Ste B2, Mobile, AL 36695-8961 | 2018-03-08 |
| 1548655632 | Samantha Chirichella | Chiropractor | 6345 Cottage Hill Rd, Suite D, Mobile, AL 36609-3114 | 2015-04-06 |
| 1942566575 | Petrey Chiropractic LLC | Chiropractor | 6356 Cottage Hill Rd, Mobile, AL 36609-3111 | 2012-04-09 |
| 1083980692 | Quinn E Kennedy | Chiropractor | 740 Schillinger Rd S, Ste 2b, Mobile, AL 36695-8931 | 2012-03-28 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.