THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC (NPI# 1043499700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043499700 |
| Entity Type | Organization |
| Organization Name | THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC |
| Other Organization Name | DALTON CLINIC OF CHIROPRACTIC, INC |
| Practice Address |
1334 Mackey Branch Drive Suite 103 Chattanooga TN 37421-3471 |
| Practice Telephone | 4232962604 |
| Practice Fax Number | 4232962607 |
| Mailing Telephone | 4232962604 |
| Mailing Fax Number | 4232962607 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2016-12-09 |
| Authorized Official Name | DR. JESSICA TAYLOR (PRESIDENT) |
| Authorized Official Telephone | 4232962604 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 17939 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 111N00000X | Chiropractor | 2465 | TN | Chiropractic Providers |
| N | 208D00000X | General Practice | 52292 | TN | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 40410 | TN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dalton Clinic of Chiropractic, Inc | Former Legal Business Name - Organization |
| Street Address |
1334 MACKEY BRANCH DRIVE SUITE 103 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-3471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710204722 | Jessica Noel Taylor | Chiropractor | 1334 Mackey Branch Drive, Suite 104, Chattanooga, TN 37421-3471 | 2010-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891202941 | One To One Health | General Practice | 1413 Mccallie Ave, Chattanooga, TN 37404-2936 | 2018-01-10 |
| 1417470501 | True Wellness Medical | General Practice | 6102 Shallowford Rd Ste 103, Chattanooga, TN 37421-1684 | 2017-07-20 |
| 1871914127 | Afc Physicians of Tennessee, PC | General Practice | 3520 Cummings Highway, Chattanooga, TN 37419-2311 | 2014-01-03 |
| 1447424866 | Comprehensive Health Services | General Practice | 3800 Amnicola Hwy, Chattanooga, TN 37406-1003 | 2008-04-16 |
| 1790789717 | Philip Thomas Newton Jr. | General Practice | 3812 Tennessee Ave, Chattanooga, TN 37409-1203 | 2005-06-08 |
| 1558836049 | Cascade Healthcare Pllc | General Practice | 6221 Shallowford Rd Ste 100, Chattanooga, TN 37421-1972 | 2018-10-10 |
| 1801276316 | Landmark Medical | General Practice | 103 Jordan Dr, Chattanooga, TN 37421-6715 | 2015-06-01 |
| 1346659810 | Apple Corporate Wellness Inc. | General Practice | 6221 Shallowford Rd, Ste 100, Chattanooga, TN 37421-1971 | 2014-08-08 |
| 1346654449 | Mh Health Care Services, PC | General Practice | 620 E 11th St, C/o City of Chattanooga Employee Health Center, Chattanooga, TN 37403-3101 | 2014-06-17 |
| 1962662791 | Urgent & General Medicine Ministry, PC | General Practice | 2158 Northgate Park Ln, Suite 104, Chattanooga, TN 37415-6957 | 2008-06-16 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.