CHIROSOUTH SPINE AND SPORT LLC
NPI 1205351863
Chiropractor in Mobile, AL

Active since August 04, 2017
277 MCGREGOR AVE S, MOBILE, AL 36608(251) 990-8383(251) 990-8399 Get Directions Write a Review

NPPES record last updated: August 4, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chirosouth Spine And Sport Llc NPPES

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

CHIROSOUTH SPINE AND SPORT LLC (NPI 1205351863) is a healthcare organization registered as a chiropractor in Mobile, Alabama and active in the NPI registry since August 2017. The organization lists Justin F Southall, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1205351863
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHIROSOUTH SPINE AND SPORT LLC
Location Address277 MCGREGOR AVE SMobile, AL 36608-2340
Mailing Address151 Fly Creek Ave Ste 411Fairhope, AL 36532-8308 · (850) 990-8383 · Fax (850) 990-8399
Fax(251) 990-8399
Organization SubpartNo
Authorized OfficialJustin F SouthallOwner/chiropractor · (850) 990-8383
Enumeration DateAugust 4, 2017
✔ NPI 1205351863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AL · 2292
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.
277 MCGREGOR AVE S, Mobile, AL 36608

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)

Chirosouth Spine And Sport 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 Chirosouth Spine And Sport LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1205533080
10179 EASTERN SHORE DR STE 102
Spanish Fort, AL 36527
(251) 625-4777
18 mi
Chiropractic
NPI 1639492770
1201 S HIGH ST
Columbus, OH 43206
(614) 444-5661
701 mi

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 Chirosouth Spine And Sport LLC's NPI number?

The NPI number for Chirosouth Spine And Sport LLC is 1205351863. It was assigned to this organization in the NPPES registry on August 4, 2017.

Where is Chirosouth Spine And Sport LLC located?

Chirosouth Spine And Sport LLC is located at 277 Mcgregor Ave S, Mobile, AL 36608. The listed phone number is (251) 990-8383.

What is Chirosouth Spine And Sport LLC's specialty?

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

Is Chirosouth Spine And Sport LLC enrolled in Medicare?

Yes. Chirosouth Spine And Sport LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chirosouth Spine And Sport LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Chirosouth Spine And Sport 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Chirosouth Spine And Sport LLC was last updated on August 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.