Individual provider Active NPI

Spencer Paul Neal, D.C.

  • Chiropractor
  • Germantown, TN
National Provider Identifier
1093053530
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2654 Issued in TN
Practice address
2121 S Germantown Rd
Ste 4
Germantown, TN 38138-3866
Phone
(901) 757-9000
Fax
(901) 755-9605
NPI assigned
Jan 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2654 TN Primary

Addresses

Primary practice location

2121 S Germantown Rd
Ste 4
Germantown, TN 38138-3866

Mailing address

2121 S Germantown Rd
Ste 4
Germantown, TN 38138-3866
Phone (901) 757-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130327000346 TN Practitioner - Chiropractic 1052556842 Reassigns benefits to 1 organization
I20170601002132 AR Practitioner - Chiropractic 1052556842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4709 W Kings Hwy
Paragould, AR 72450-3490

4709 W Kingshighway
Paragould, AR 72450-3490
Phone (870) 565-2232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2654TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neal Chiropractic and Physical Medicine Chiropractor CurrentSince Apr 17, 2017 Accepting new patients
Germantown Chiropractic Clinic PLLC Chiropractor CurrentSince Feb 1, 2013 Accepting new patients
Inman Chiropractic and Rehabilitation Center PLLC Chiropractor Past Accepting new patients
Terry J. Hanson DC Chiropractor Past Accepting new patients

Locations

2121 S Germantown Rd
Ste 4
Germantown, TN 38138
Phone (901) 757-9000

Organizations & group practices 4

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": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1093053530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S GERMANTOWN RD",
            "address_2": "STE 4",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383866",
            "telephone_number": "901-757-9000",
            "fax_number": "901-755-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S GERMANTOWN RD",
            "address_2": "STE 4",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383866",
            "telephone_number": "901-757-9000",
            "fax_number": "901-755-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "SPENCER",
        "middle_name": "PAUL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-17",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.