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HEALTHSOURCE ATHENS, LLC
NPI 1134714256
Chiropractor in Athens, AL

Active since March 02, 2021
1207 E FORREST ST STE A, ATHENS, AL 35613(256) 233-7776(256) 251-6229 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Healthsource Athens, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSOURCE ATHENS, LLC (NPI 1134714256) is a healthcare organization registered as a chiropractor in Athens, Alabama and active in the NPI registry since March 2021. The organization lists Devin Eernisse, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1134714256
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHEALTHSOURCE ATHENS, LLC
Location Address1207 E FORREST ST STE AAthens, AL 35613-2058
Mailing Address1207 E Forrest St Ste AAthens, AL 35613-2058 · (256) 233-7776 · Fax (256) 251-6229
Phone(256) 233-7776
Fax(256) 251-6229
Organization SubpartNo
Authorized OfficialDevin EernisseChiropractor · (763) 442-2960
Enumeration DateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
✔ NPI 1134714256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
1207 E FORREST ST STE A, Athens, AL 35613
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthsource Athens, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Healthsource Athens, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Gracie Downs, DC
Chiropractic
NPI 1174393391
1207 E FORREST ST STE A
Athens, AL 35613
(256) 233-7776
✔ Accepts MedicareSame address
Devin Eernisse, DC
Chiropractic
NPI 1164946281
1207 E FORREST ST STE A
Athens, AL 35613
(256) 233-7776
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthsource Athens, LLC's NPI number?

The NPI number for Healthsource Athens, LLC is 1134714256. It was assigned to this organization in the NPPES registry on March 2, 2021.

Where is Healthsource Athens, LLC located?

Healthsource Athens, LLC is located at 1207 E Forrest St Ste A, Athens, AL 35613. The listed phone number is (256) 233-7776.

What is Healthsource Athens, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Healthsource Athens, LLC enrolled in Medicare?

Yes. Healthsource Athens, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthsource Athens, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Healthsource Athens, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Healthsource Athens, LLC was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.