JERRYLEE OTIMEYE EJUWA D.C
NPI 1295007326
Chiropractor in Grapevine, TX

Active since February 06, 2012PECOS EnrolledAccepts Medicare Assignment
1025 S MAIN ST STE 305, GRAPEVINE, TX 76051(817) 251-0550(817) 251-0599 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 30, 2020, Oct 7, 2019, Oct 3, 2019 (3 updates tracked since 2019).

About Jerrylee Otimeye Ejuwa D.c NPPES

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

JERRYLEE OTIMEYE EJUWA D.C (NPI 1295007326) is an individual chiropractor in Grapevine, Texas, licensed in Texas (11959) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1295007326
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJERRYLEE OTIMEYE EJUWACredential: D.C
Location Address1025 S MAIN ST STE 305Grapevine, TX 76051-7506
Mailing Address1025 S Main St Ste 305Grapevine, TX 76051-7506 · (817) 251-0550 · Fax (817) 251-0599
Fax(817) 251-0599
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 6, 2012
Last NPPES UpdateJune 30, 20203 updates tracked since enumeration
NPPES CertifiedJune 30, 2020
NPI 1295007326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TX · 11959
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.

1025 S MAIN ST STE 305, Grapevine, TX 76051

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jerrylee Otimeye Ejuwa D.c 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 ID4183889660
PECOS Enrollment IDI20120709000054
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

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.
166 services22 patients

Other Providers at the Same Location NPPES

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

Family Medicine
1025 S MAIN ST STE 305
GRAPEVINE, TX 76051

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 Jerrylee Ejuwa's NPI number?

The NPI number for Jerrylee Ejuwa is 1295007326. It was assigned to this individual provider in the NPPES registry on February 6, 2012.

Where is Jerrylee Ejuwa located?

Jerrylee Ejuwa practices at 1025 S Main St Ste 305, Grapevine, TX 76051. The listed phone number is (817) 251-0550.

What is Jerrylee Ejuwa's specialty?

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

Is Jerrylee Ejuwa enrolled in Medicare?

Yes. Jerrylee Ejuwa 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.

What insurance does Jerrylee Ejuwa accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Jerrylee Ejuwa 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 Jerrylee Ejuwa was last updated on June 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.