Individual provider Active NPI

Gregory Beauchamp, D.C.

  • Chiropractor
  • Nashville, TN
National Provider Identifier
1194196451
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 60600005 Issued in WA
Practice address
1100 Kermit Dr
Suite 26
Nashville, TN 37217-2121
Phone
(615) 574-5075
NPI assigned
Oct 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 60600005 WA Primary

Addresses

Primary practice location

1100 Kermit Dr
Suite 26
Nashville, TN 37217-2121

Mailing address

1150 Vultee Blvd
Apt. E2
Nashville, TN 37217-2123
Phone (615) 574-5075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160510000922 TN Practitioner - Chiropractic 2163721549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1100 Kermit Dr
Suite 26
Nashville, TN 37217-2121
Phone (615) 361-0848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 60600005WAMDChiropractor
2913TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ak Health Connection LLC Chiropractor CurrentSince Mar 23, 2016 Accepting new patients

Locations

1100 Kermit Dr
Ste 26
Nashville, TN 37217
Phone (615) 361-0848

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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1194196451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 VULTEE BLVD",
            "address_2": "APT. E2",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172123",
            "telephone_number": "615-574-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 KERMIT DR",
            "address_2": "SUITE 26",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172121",
            "telephone_number": "615-574-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "GREGORY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-13",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60600005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.