Joseph Jackson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009366 Issued in GA

Practice address

2805 Old Fort Pkwy
Suite D
Murfreesboro, TN 37128-5115

Phone

(770) 733-9297

NPI assigned

May 16, 2016

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 TN

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2014

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• 100 Percent Chiropractic Nashville Two

  • Medical Specialty Clinic/Center
  • Murfreesboro, TN
  • NPI 1093269342
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1164879565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 OLD FORT PKWY",
            "address_2": "SUITE D",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285115",
            "telephone_number": "770-733-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 OLD FORT PKWY",
            "address_2": "SUITE D",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285115",
            "telephone_number": "770-733-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathaleen Jackson, OTR
• Chad Michael Jackson, M.D.
• Christina Jackson, LPC-MHSP
• Elizabeth Galland Jackson, M.D.
• Jeffrey Brett Jackson, PHARMD,BSPHARMSCI,BS
• Kelly Amanda Jackson, APRN
• Lacey H Jackson, LCSW
• Madison Jackson, RBT
• Marilyn Moran Jackson, DC
• Morgan F Jackson, MD

• Chiropractor in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.