Organization Active NPI

Shull Chiropractic Clinic PLLC

  • Chiropractor
  • Winchester, TN
National Provider Identifier
1194921510
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SHULL CHIROPRACTIC CLINIC PLLC
Practice address
1025 S College St
Winchester, TN 37398-2236
Phone
(931) 967-4232
Fax
(931) 962-1988
NPI assigned
Jun 22, 2007
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Kurt Anthony Shull, DCNPI 1376507970
Title
Owner
Phone
(931) 967-4232

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1025 S College St
Winchester, TN 37398-2236

Mailing address

1025 S College St
Winchester, TN 37398-2236
Phone (931) 967-4232

Other practice location 1

107 E Grundy St
Tullahoma, TN 37388-3613
Phone (931) 408-9567

Other practice location 2

16 1st St
Monteagle, TN 37356-7433
Phone (931) 924-4869

Other identifiers 2

IdentifierTypeStateIssuer
3970470MedicaidTN
0146299OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110826000461 TN Part B Supplier - Clinic/Group Practice 8426228578 Receives reassigned benefits from 3 practitioners
Practice locations: Monteagle, TN; Tullahoma, TN; Winchester, TN

National Provider Directory

National Provider Directory

Locations

1045 W Main St
Ste D3
Monteagle, TN 37356
Phone (931) 924-4869

107 E Grundy St
Tullahoma, TN 37388
Phone (931) 408-9567

1025 S College St
Winchester, TN 37398
Phone (931) 967-4232

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1194921510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S COLLEGE ST",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982236",
            "telephone_number": "931-967-4232",
            "fax_number": "931-962-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S COLLEGE ST",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982236",
            "telephone_number": "931-967-4232",
            "fax_number": "931-962-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 E Grundy St",
            "address_purpose": "LOCATION",
            "city": "Tullahoma",
            "state": "TN",
            "postal_code": "373883613",
            "country_code": "US",
            "telephone_number": "931-408-9567",
            "fax_number": "931-962-1988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 1st St",
            "address_purpose": "LOCATION",
            "city": "Monteagle",
            "state": "TN",
            "postal_code": "373567433",
            "country_code": "US",
            "telephone_number": "931-924-4869",
            "fax_number": "931-962-1988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHULL CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "SHULL",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-967-4232",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3970470",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0146299",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.