Organization Active NPI

Southern Life Chiropractic LLC

  • Chiropractor
  • Spring Hill, TN
National Provider Identifier
1144032780
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOUTHERN LIFE CHIROPRACTIC LLC
Practice address
5226 Main St Ste D2
Spring Hill, TN 37174-4204
Phone
(931) 488-8255
Fax
(931) 488-8257
NPI assigned
Jan 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Dr. William Blair Baxter, DCNPI 1659648731
Title
Doctor/Owner
Phone
(931) 488-8255

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5226 Main St Ste D2
Spring Hill, TN 37174-4204

Mailing address

5226 Main St Ste D2
Spring Hill, TN 37174-4204
Phone (931) 488-8255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250811003993 TN Part B Supplier - Clinic/Group Practice 2365940178 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Hill, TN

National Provider Directory

National Provider Directory
Tax ID family
Southern Life Chiropractic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5226 Main St
Ste D2
Spring Hill, TN 37174
Phone (931) 215-9252

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1144032780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5226 MAIN ST STE D2",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371744204",
            "telephone_number": "931-488-8255",
            "fax_number": "931-488-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5226 MAIN ST STE D2",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371744204",
            "telephone_number": "931-488-8255",
            "fax_number": "931-488-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "931-488-8255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.