Jeremy Wayne Gatlin

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1900 Issued in TN

Legal business name

JEREMY WAYNE GATLIN

Doing business as

Gatlin Chiropractic and Wellness

Practice address

624 US Highway 51 Byp W
Dyersburg, TN 38024-1949

Phone

(731) 288-9628

Fax

(731) 288-9653

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jill Christine Gatlin, D.C.NPI 1295771293

Title

Doctor

Phone

(731) 288-9628

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gatlin Chiropractic and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Christine Gatlin, D.C.

  • Chiropractor
  • Dyersburg, TN
  • NPI 1295771293
  Medicare reassignment Care Compare group Authorized official
• Jeremy Wayne Gatlin, D.C.

  • Chiropractor
  • Dyersburg, TN
  • NPI 1952346306
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1033300173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SAINT JOHN AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242116",
            "telephone_number": "731-288-9628",
            "fax_number": "731-288-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 US HIGHWAY 51 BYP W",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241949",
            "telephone_number": "731-288-9628",
            "fax_number": "731-288-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY WAYNE GATLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "GATLIN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "731-288-9628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3972980",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gatlin Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angeli Jain, MD
• James and Wilks Pharmacy LLC
• Mart W James, DPH
• Zachry Jarrell, DPT
• Tammy Javellana, F.N.P
• Pagela Jobe
• John Mark Bowers
• Mary R. Johnson, RN
• Tony Johnson
• Mark Allen Jones, MD

• Chiropractor in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.