Colin Grant Fultz, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5535 Issued in KY

Practice address

352 Old Gallatin Rd
Scottsville, KY 42164-8666

Phone

(270) 239-2225

NPI assigned

Apr 26, 2017

Last updated

Apr 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, TN2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Spine Stop Franklin, PLLCGroup PAC ID 2163883174, 3 clinicians

Spine Stop Tullahoma, PLLCGroup PAC ID 3173927258, 2 clinicians

Spine Stop Lafayette, PLLCGroup PAC ID 8022423706, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spine Stop Franklin, PLLC

  • Chiropractor
  • Franklin, KY
  • NPI 1255016218
  Medicare reassignment Care Compare group NPD
• Spine Stop Lafayette, PLLC

  • Chiropractor
  • Lafayette, TN
  • NPI 1194315846
  Medicare reassignment Care Compare group NPD
• Spine Stop Tullahoma, PLLC

  • Chiropractor
  • Tullahoma, TN
  • NPI 1467047878
  Medicare reassignment Care Compare group NPD
• Spine Stop Bowling Green, PLLC

  • Chiropractor
  • Bowling Green, KY
  • NPI 1811476880
  Medicare reassignment NPD
• Spine Stop Brownsville, PLLC

  • Chiropractor
  • Brownsville, KY
  • NPI 1437035201
  Medicare reassignment NPD
• Spine Stop Glasgow, PLLC

  • Chiropractor
  • Glasgow, KY
  • NPI 1376177956
  Medicare reassignment NPD
• Spine Stop Russellville, PLLC

  • Chiropractor
  • Russellville, KY
  • NPI 1548912157
  Medicare reassignment NPD
• Spine Stop, PLLC

  • Chiropractor
  • Scottsville, KY
  • NPI 1215163431
  Medicare reassignment NPD
• Spine Stop Portland, PLLC

  • Chiropractor
  • Portland, TN
  • NPI 1659829562
  Medicare reassignment NPD

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1154856292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 OLD GALLATIN RD",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421648666",
            "telephone_number": "270-239-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 OLD GALLATIN RD",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421648666",
            "telephone_number": "270-239-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTZ",
        "first_name": "COLIN",
        "middle_name": "GRANT",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Brooke Cole Embry
• Keishia Danielle Embry, PT, DPT
• Samira Fejzic
• Heather Jo Ford, APRN
• Jodie Ford, MS, CCC/SLP
• Miranda Lynn-Marie Gile, DC
• Glasgow Urgent Clinic, Inc (Scottsville Urgent Clinic)
• Glasgow Urgent Clinic, Inc (Scottsville Urgent Clinic)
• Glasgow Urgent Clinic, Inc. (Scottsville Urgent Clinic)
• Sara Brooke Graham

• Chiropractor in Scottsville, KY
• Providers in Scottsville, KY by specialty
• Chiropractor in Kentucky

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