HEALTHSOURCE OF MERIDIANVILLE
NPI 1629882121
Chiropractor in Meridianville, AL
About Healthsource Of Meridianville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTHSOURCE OF MERIDIANVILLE (NPI 1629882121) is a healthcare organization registered as a chiropractor in Meridianville, Alabama and active in the NPI registry since February 2025. The organization lists Jacob Dean Mathias, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Meridianville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Healthsource Of Meridianville, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Meridianville's NPI number?
The NPI number for Healthsource Of Meridianville is 1629882121. It was assigned to this organization in the NPPES registry on February 4, 2025.
Where is Healthsource Of Meridianville located?
Healthsource Of Meridianville is located at 11850 Highway 231 431 N Ste J, Meridianville, AL 35759. The listed phone number is (217) 381-7825.
What is Healthsource Of Meridianville's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Healthsource Of Meridianville enrolled in Medicare?
Yes. Healthsource Of Meridianville is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Healthsource Of Meridianville?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Healthsource Of Meridianville. 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 Meridianville was last updated on February 13, 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.
# Healthsource Of Meridianville · NPI 1629882121
Chiropractor organization in Meridianville, Alabama. Organization record, active in the CMS NPPES registry since February 4, 2025.
## Identity
- **NPI:** 1629882121 (Entity type: Organization)
- **Enumerated:** February 4, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Jacob Mathias, MANAGING MEMBER
## Practice location
- **Address:** 11850 HIGHWAY 231 431 N STE J, Meridianville, AL 35759-2126
- **Phone:** (217) 381-7825
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 13, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1629882121) · Data from the CMS NPPES public registry.