Individual provider Active NPI

James Stewart Lillard II, DC

  • Chiropractor
  • Athens, TN
National Provider Identifier
1023187267
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2087 Issued in TN
Practice address
105 Elizabeth
Suite 39
Athens, TN 37303
Phone
(423) 507-8305
Fax
(423) 507-8333
NPI assigned
Nov 6, 2006
Last updated
Aug 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2087 TN Primary

Addresses

Primary practice location

105 Elizabeth
Suite 39
Athens, TN 37303

Mailing address

105 Elizabeth
Suite 39
Athens, TN 37303
Phone (423) 507-8305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070420000493 TN Practitioner - Chiropractic 8224133186 Reassigns benefits to 1 organization
Practice locations: Athens, TN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 Park St
Athens, TN 37303-4255
Phone (423) 507-8305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2087TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lillard Chiropractic PA Chiropractor CurrentSince May 22, 2006 Accepting new patients
Meylor Chiropractic & Acupuncture PA Chiropractor Past Accepting new patients

Locations

105 Elizabeth St
Ste 39
Athens, TN 37303
Phone (423) 507-8305

115 Park St
Athens, TN 37303
Phone (423) 507-8305

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1023187267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ELIZABETH",
            "address_2": "SUITE 39",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "37303",
            "telephone_number": "423-507-8305",
            "fax_number": "423-507-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ELIZABETH",
            "address_2": "SUITE 39",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "37303",
            "telephone_number": "423-507-8305",
            "fax_number": "423-507-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLARD",
        "first_name": "JAMES",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.