Tri-State Clinic of Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2700 Issued in TN

Legal business name

TRI-STATE CLINIC OF CHIROPRACTIC, PC

Practice address

2686 Huntsville Hwy
Fayetteville, TN 37334-7647

Phone

(931) 993-1922

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Mathey, DCNPI 1285060871

Title

Owner

Phone

(931) 993-1922

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 3

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

• Nicole Mathey, D.C.

  • Chiropractor
  • Fayetteville, TN
  • NPI 1285060871
  Medicare reassignment NPD Authorized official
• Michael Compton, D.C.

  • Chiropractor
  • Saint Marys, OH
  • NPI 1124108816
  NPD (past)
• Chad E Mathey, D.C,

  • Chiropractor
  • Huntsville, AL
  • NPI 1568584100
  NPD (past)

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1073941191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 HUNTSVILLE HWY",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373347647",
            "telephone_number": "931-993-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2686 HUNTSVILLE HWY",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373347647",
            "telephone_number": "931-993-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE CLINIC OF CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "MATHEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-993-1922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2702",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neila Susan Thompson, CRNP
• Andrea Askins Thorpe, M.D.
• Kristy Dawn Tolleson, LMT
• Top Flight Medical Group LLC
• Michael Shane Trahin, DC
• Elizabeth Truesdale, RN, IBCLC
• Tracie Tubbs, PA
• Sheila Cherie Urbina Worley, APRN
• Vanderbilt University
• Wal-Mart Stores East LP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.