TENN SPINE AND PERFORMANCE ENHANCEMENT CENTER (NPI# 1457679169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457679169 |
| Entity Type | Organization |
| Organization Name | TENN SPINE AND PERFORMANCE ENHANCEMENT CENTER |
| Other Organization Name | TENNESSEE SPINE & PERFORMANCE ENHANCEMENT CENTER |
| Practice Address |
470 Collier Drive Sevierville TN 57862-6931 |
| Practice Telephone | 8652865421 |
| Practice Fax Number | 8652869937 |
| Mailing Telephone | 8652865421 |
| Mailing Fax Number | 8652869937 |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2018-04-24 |
| Authorized Official Name | JOSHUA T CHAMBERS (PROVIDER) |
| Authorized Official Telephone | 8652865421 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 2426 | TN | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | DC0000002426 | TN | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Tennessee Spine & Performance Enhancement Center | Doing Business As Name - Organization |
| Street Address |
470 COLLIER DRIVE |
| City | SEVIERVILLE |
| State | TN |
| Zip Code | 57862-6931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164034013 | Donte Leonard | Nurse Practitioner | 952 Dolly Parton Pkwy, Sevierville, TN 37862-3707 | 2020-08-21 |
| 1457961401 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 750 Winfield Dunn Parkway, Suite 100, Sevierville, TN 37876 | 2020-08-05 |
| 1508484775 | Katherine Elizabeth Ratcliff | Registered Nurse | 334 Riverdale Dr, Sevierville, TN 37862-5905 | 2020-07-13 |
| 1912525049 | Colleen Michelle Clark Laing | Nurse Practitioner | 1440 Korey Blvd, Sevierville, TN 37876-0583 | 2020-07-06 |
| 1558999862 | Richard Bernardi | Registered Nurse | 3053 N Clear Fork Rd, Sevierville, TN 37862-7933 | 2020-03-31 |
| 1902437353 | Requitta H Bone | Counselor | 1101 Fox Meadows Blvd Ste 105, Sevierville, TN 37862-6937 | 2020-02-03 |
| 1992342307 | Tennessee Spine Wellness & Medical Group LLC | General Practice | 470 Collier Dr, Sevierville, TN 37862-6931 | 2019-12-04 |
| 1881237618 | Jeremy Ray Strader | Nurse Practitioner | 811 Floyd Ln, Sevierville, TN 37862-1809 | 2019-10-24 |
| 1609427517 | Angela M. Seaton | Technician | 3030 Sims Rd, Sevierville, TN 37876-1061 | 2019-09-23 |
| 1467002667 | Renaissance Healthcare Group LLC | Clinic/Center | 1222 Goose Gap Rd, Sevierville, TN 37876-2656 | 2019-09-19 |
| Find all providers in SEVIERVILLE | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508183500 | Joshua Timothy Chambers | Chiropractor | 1240 Fox Meadows Blvd Ste 4, Sevierville, TN 37862-6928 | 2010-04-29 |
| 1427183680 | Keith Thornton | Chiropractor | 529 Dolly Parton Pkwy, Sevierville, TN 37862-3600 | 2007-02-21 |
| 1285783720 | Douglas Reed Guyot | Chiropractor | 739 Dolly Parton Pkwy Unit B, Sevierville, TN 37862-3619 | 2007-01-10 |
| 1689680415 | Ratcliff Chiropractic Office PC | Chiropractor | 826 Middle Creek Rd, Sevierville, TN 37862 | 2006-08-01 |
| 1679589402 | Craig B Ratcliff | Chiropractor | 826 Middle Creek Road, Sevierville, TN 37862 | 2006-08-01 |
| 1457380339 | Lou Ann Horstmann | Chiropractor | 1815 Parkway, Sevierville, TN 37862 | 2006-07-02 |
| 1417302878 | Melinda Ratcliff Hallam | Chiropractor | 826 Middle Creek Rd, Sevierville, TN 37862-5017 | 2016-05-04 |
| 1720104755 | Hood Chiropractic Inc. | Chiropractor | 1011 Middle Creek Rd, 103, Sevierville, TN 37862 | 2007-03-21 |
| 1982785945 | John A Hood | Chiropractor | 1011 Middle Creek Rd, 103, Sevierville, TN 37862-6934 | 2006-10-18 |
| 1134136880 | Keith K Ratcliff | Chiropractor | 826 Middle Creek Rd, Sevierville, TN 37862 | 2006-08-02 |
| Find all providers in SEVIERVILLE | ||||
| City | SEVIERVILLE |
| Zip Code | 57862 |
Please comment or provide details below to improve the information on TENN SPINE AND PERFORMANCE ENHANCEMENT CENTER.
| 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.