HEALTHSOURCE OF PROVIDENCE LLC
NPI 1609123256
Chiropractor in Huntsville, AL

Active since August 13, 2012
485 PROVIDENCE MAIN ST NW STE 100, HUNTSVILLE, AL 35806(256) 327-4900 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Healthsource Of Providence Llc NPPES

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

HEALTHSOURCE OF PROVIDENCE LLC (NPI 1609123256) is a healthcare organization registered as a chiropractor in Huntsville, Alabama and active in the NPI registry since August 2012. The organization lists Joseph Paul Lawrence, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1609123256
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHEALTHSOURCE OF PROVIDENCE LLC
Location Address485 PROVIDENCE MAIN ST NW STE 100Huntsville, AL 35806-4899
Mailing Address485 Providence Main Street, Suite 100Huntsville, AL 35806-2673 · (256) 221-0163
Organization SubpartNo
Authorized OfficialJoseph Paul LawrenceOwner/chiropractor · (256) 221-0163
Enumeration DateAugust 13, 2012
Last NPPES UpdateFebruary 7, 2024
NPPES CertifiedFebruary 7, 2024
✔ NPI 1609123256 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.
485 PROVIDENCE MAIN ST NW STE 100, Huntsville, AL 35806

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 Of Providence 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 Of Providence LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1548543028
129 US HWY 31
Athens, AL 35611
(256) 233-7776
15 mi
Chiropractic
NPI 1275713661
129 US HIGHWAY 31 S
Athens, AL 35611
(256) 233-7776
15 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 Healthsource Of Providence LLC's NPI number?

The NPI number for Healthsource Of Providence LLC is 1609123256. It was assigned to this organization in the NPPES registry on August 13, 2012.

Where is Healthsource Of Providence LLC located?

Healthsource Of Providence LLC is located at 485 Providence Main St NW Ste 100, Huntsville, AL 35806. The listed phone number is (256) 327-4900.

What is Healthsource Of Providence LLC's specialty?

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

Is Healthsource Of Providence LLC enrolled in Medicare?

Yes. Healthsource Of Providence LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthsource Of Providence LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Healthsource Of Providence 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 Healthsource Of Providence LLC was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.