Individual provider Active NPI

Logan Elijah Bates, DC

  • Chiropractor
  • Murfreesboro, TN
National Provider Identifier
1144949538
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3633 Issued in TN
Practice address
3242 Memorial Blvd Ste C
Murfreesboro, TN 37129-3233
Phone
(615) 900-5187
NPI assigned
Aug 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3633 TN Primary

Addresses

Primary practice location

3242 Memorial Blvd Ste C
Murfreesboro, TN 37129-3233

Mailing address

475 Swanholme Dr Apt L209
Murfreesboro, TN 37128-1521
Phone (731) 487-7329

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230928001717 TN Practitioner - Chiropractic 4183078835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Back Pain Center LLCGroup PAC ID 5294115762, 2 clinicians

Practice addresses (Care Compare)

3242 Memorial Blvd
Suite C
Murfreesboro, TN 37129-3233
Phone (615) 900-5187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3633TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Back Pain Center LLC CurrentSince Aug 3, 2023 Accepting new patients

Locations

3242 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 900-5187

Organizations & group practices 1

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1144949538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SWANHOLME DR APT L209",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371281521",
            "telephone_number": "731-487-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3242 MEMORIAL BLVD STE C",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293233",
            "telephone_number": "615-900-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "LOGAN",
        "middle_name": "ELIJAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.