Organization Active NPI

Life Charge Chiropractic LLC

  • Chiropractor
  • Gallatin, TN
National Provider Identifier
1063222537
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIFE CHARGE CHIROPRACTIC LLC
Practice address
1921 Nashville Pike Ste 500
Gallatin, TN 37066-5262
Phone
(615) 219-9912
Fax
(615) 825-0041
NPI assigned
Jan 8, 2025
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Palmer Piana, DCNPI 1477242543
Title
Owner
Phone
(615) 219-9912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1921 Nashville Pike Ste 500
Gallatin, TN 37066-5262

Mailing address

148 Robinhood Cir
Hendersonville, TN 37075-4814
Phone (860) 733-3696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250128001404 TN Part B Supplier - Clinic/Group Practice 1052840642 Receives reassigned benefits from 1 practitioner
Practice locations: Gallatin, TN

National Provider Directory

National Provider Directory

Locations

1921 Nashville Pike
Ste 500
Gallatin, TN 37066
Phone (615) 219-9912

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1063222537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 ROBINHOOD CIR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754814",
            "telephone_number": "860-733-3696",
            "fax_number": "615-825-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 NASHVILLE PIKE STE 500",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370665262",
            "telephone_number": "615-219-9912",
            "fax_number": "615-825-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHARGE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "PIANA",
        "authorized_official_first_name": "PALMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-219-9912",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.