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JAMES J HEATON DC
NPI 1205980075
Chiropractor in Grove City, OH

Active since January 22, 2007Accepts Medicare Assignment
3995 BROADWAY STE 150, GROVE CITY, OH 43123(614) 883-8100(614) 883-8101 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2025, Jan 10, 2025 (2 updates tracked since 2025).

About James J Heaton Dc NPPES

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

JAMES J HEATON DC (NPI 1205980075) is an individual chiropractor in Grove City, Ohio, licensed in Ohio (2366) and active in the NPI registry since January 2007. He is a graduate of Logan College Of Chiropractic (1996).

NPPES Registry Identity

NPI1205980075
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJAMES J HEATONCredential: DC
Location Address3995 BROADWAY STE 150Grove City, OH 43123-2639
Mailing Address3995 Broadway Ste 150Grove City, OH 43123-2639 · (614) 883-8100 · Fax (614) 883-8101
Phone(614) 883-8100
Fax(614) 883-8101
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 1996
Enumeration DateJanuary 22, 2007
Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1205980075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OH · 2366
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.
3995 BROADWAY STE 150, Grove City, OH 43123
Open in Google Maps ↗

Other Identifiers 1

Medicaid2093103OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James J Heaton Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143407502
PECOS Enrollment IDI20110613000118

Medicare Billing Reassignment

Medicare enrollment records show James Heaton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heaton Family Chiropractic, Inc.
Same address
Chiropractor
3995 BROADWAY STE 150
Grove City, OH 43123
  • Reassigned Medicare billing, Ohio enrollment
NPI 1336326800 (614) 883-8100

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
176 services24 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
83 services15 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATON FAMILY CHIROPRACTIC, INC.
Chiropractor
3995 BROADWAY STE 150
GROVE CITY, OH 43123
Franklin County (614) 883-8100
MISS JOANNA MARIE PLANCK LMT
Massage Therapist
3995 BROADWAY STE 150
GROVE CITY, OH 43123
Franklin County (614) 883-8100
DR. JEFFREY C OVERSTREET D.C.
Chiropractor
3995 BROADWAY STE 150
GROVE CITY, OH 43123
Franklin County (614) 883-8100

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 James Heaton's NPI number?

The NPI number for James Heaton is 1205980075. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is James Heaton located?

James Heaton practices at 3995 Broadway Ste 150, Grove City, OH 43123. The listed phone number is (614) 883-8100.

What is James Heaton's specialty?

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

Is James Heaton enrolled in Medicare?

Yes. James Heaton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for James Heaton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Heaton reassigns Medicare benefits to Heaton Family Chiropractic, Inc. (Grove City, OH). The 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 James Heaton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Heaton accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare and UnitedHealthcare list James Heaton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Heaton was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.