Individual provider Active NPI

Jenny Rebecca Kim, DC

  • Chiropractor
  • Columbia, TN
National Provider Identifier
1104865310
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2039 Issued in TN
Practice address
1412 Trotwood Ave Ste 14
Columbia, TN 38401-4979
Phone
(615) 428-6916
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2039 TN Primary

Addresses

Primary practice location

1412 Trotwood Ave Ste 14
Columbia, TN 38401-4979

Mailing address

1412 Trotwood Ave Ste 14
Columbia, TN 38401-4979
Phone (931) 388-6437

Other practice location 1

2596 Murfreesboro Pike # 120
Nashville, TN 37217-3504
Phone (615) 360-3000

Other names 1

  • Dr. Jenny Rebecca Scheitel-Kim Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080715000813 TN Practitioner - Chiropractic 6204914096 Reassigns benefits to 2 organizations
Practice locations: Columbia, TN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Chiropractic, P.C.Group PAC ID 5496833287, 2 clinicians

Practice addresses (Care Compare)

1412 Trotwood Ave
Suite 14
Columbia, TN 38401-4979
Phone (931) 388-6437

301 Mallory Station Rd
Suite 120
Franklin, TN 37067-2824
Phone 61536030002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Physical Therapy & Wellness CurrentSince Jan 1, 2026 Accepting new patients
Axis Chiropractic, P.C. Chiropractor CurrentSince May 1, 2008 Accepting new patients

Locations

522 Bell Rd
Ste C
Antioch, TN 37013
Phone (615) 360-3000

1412 Trotwood Ave
Ste 14
Columbia, TN 38401
Phone (931) 381-8444

615 Bakers Bridge Ave
Ste 120
Franklin, TN 37067
Phone (615) 764-0001

301 Mallory Station Rd
Ste 120
Franklin, TN 37067
Phone 61536030002

2596 Murfreesboro Pike
Nashville, TN 37217
Phone (615) 360-3000

Organizations & group practices 3

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1104865310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 TROTWOOD AVE STE 14",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014979",
            "telephone_number": "931-388-6437",
            "fax_number": "931-540-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 TROTWOOD AVE STE 14",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014979",
            "telephone_number": "615-428-6916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2596 Murfreesboro Pike # 120",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372173504",
            "country_code": "US",
            "telephone_number": "615-360-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JENNY",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "SCHEITEL-KIM",
            "middle_name": "REBECCA",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.