EASTERN SHORE CHIROPRACTIC & SPORTS CLINIC, INC
NPI 1679809644
Chiropractor in Fairhope, AL

Q: What is Eastern Shore Chiropractic & Sports Clinic, Inc's specialty?

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

Active since October 27, 2009

151 FLY CREEK AVENUE, SUITE 411, FAIRHOPE, AL 36532(225) 274-5507 Get Directions Write a Review

NPPES record last updated: October 27, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Eastern Shore Chiropractic & Sports Clinic, Inc NPPES

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

EASTERN SHORE CHIROPRACTIC & SPORTS CLINIC, INC (NPI 1679809644) is a healthcare organization registered as a chiropractor in Fairhope, Alabama and active in the NPI registry since October 2009. The organization lists Justin Fisher Southall, President/owner, as its authorized official.

NPPES Registry Identity

NPI1679809644

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameEASTERN SHORE CHIROPRACTIC & SPORTS CLINIC, INC

Location Address151 FLY CREEK AVENUE, SUITE 411Fairhope, AL 36532-3843

Mailing Address151 Fly Creek Avenue, Suite 411Fairhope, AL 36532-3843 · (225) 274-5507

Phone(225) 274-5507

Organization SubpartNo

Authorized OfficialJustin Fisher SouthallPresident/owner · (225) 274-5507

Enumeration DateOctober 27, 2009

✔ NPI 1679809644 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.

151 FLY CREEK AVENUE, Fairhope, AL 36532

Open in Google Maps ↗

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)

Eastern Shore Chiropractic & Sports Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Eastern Shore Chiropractic & Sports Clinic, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Justin Southall, D.C.

Chiropractic

NPI 1346403557

151 FLY CREEK AVENUE
Fairhope, AL 36532

(225) 274-5507

✔ Accepts MedicareSame address

Stephanie Harrison, DC

Chiropractic

NPI 1639694854

151 FLY CREEK AVE STE 411
Fairhope, AL 36532

(251) 990-8383

✔ Accepts Medicare3.1 mi

Eleanor Rainwater, DC

Chiropractic

NPI 1205533080

10179 EASTERN SHORE DR STE 102
Spanish Fort, AL 36527

(251) 625-4777

8.6 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 Eastern Shore Chiropractic & Sports Clinic, Inc's NPI number?

The NPI number for Eastern Shore Chiropractic & Sports Clinic, Inc is 1679809644. It was assigned to this organization in the NPPES registry on October 27, 2009.

Where is Eastern Shore Chiropractic & Sports Clinic, Inc located?

Eastern Shore Chiropractic & Sports Clinic, Inc is located at 151 Fly Creek Avenue Suite 411, Fairhope, AL 36532. The listed phone number is (225) 274-5507.

What is Eastern Shore Chiropractic & Sports Clinic, Inc's specialty?

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

Is Eastern Shore Chiropractic & Sports Clinic, Inc enrolled in Medicare?

Yes. Eastern Shore Chiropractic & Sports Clinic, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Shore Chiropractic & Sports Clinic, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Eastern Shore Chiropractic & Sports Clinic, Inc. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastern Shore Chiropractic & Sports Clinic, Inc was last updated on October 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.