Individual provider Active NPI

Garrin Scott Dotson, DC

  • Chiropractor
  • Mount Juliet, TN
National Provider Identifier
1003454752
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3214 Issued in TN
Practice address
12920 Lebanon Rd
Mount Juliet, TN 37122-2865
Phone
(615) 758-7373
NPI assigned
Dec 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3214 TN Primary

Addresses

Primary practice location

12920 Lebanon Rd
Mount Juliet, TN 37122-2865

Mailing address

12920 Lebanon Rd
Mount Juliet, TN 37122-2865
Phone (615) 758-7373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200225001497 TN Practitioner - Chiropractic 1951738376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

139 Maple Row Blvd
Suite 102
Hendersonville, TN 37075-4498
Phone (615) 505-3222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3214TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Spine Chiropractic PLLC Chiropractor CurrentSince Apr 1, 2021 Accepting new patients

Locations

139 Maple Row Blvd
Ste 102
Hendersonville, TN 37075
Phone (615) 505-3222

Networks

  • AL HMO
  • MS PPO D-SNP
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • TN PPO C-SNP
  • MS PPO C-SNP
  • MS PPO
  • KY PPO
  • KY PPO C-SNP
  • TN PPO

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1003454752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12920 LEBANON RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371222865",
            "telephone_number": "615-758-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12920 LEBANON RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371222865",
            "telephone_number": "615-758-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "GARRIN",
        "middle_name": "SCOTT",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.