Individual provider Active NPI

Marcus Jones

  • Chiropractor
  • Soddy Daisy, TN
National Provider Identifier
1215900709
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
521 Issued in TN
Practice address
8301 Dayton Pike Ste B
Soddy Daisy, TN 37379-4202
Phone
(423) 842-2828
Fax
(423) 842-1688
NPI assigned
Feb 7, 2006
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 521 TN Primary
Chiropractor 111N00000X 965 SD

Addresses

Primary practice location

8301 Dayton Pike Ste B
Soddy Daisy, TN 37379-4202

Mailing address

8301 Dayton Pike Ste B
Soddy Daisy, TN 37379-4202
Phone (423) 842-2828

Other practice location 1

502 S Cleveland Ave
Sioux Falls, SD 57103-2450
Phone (605) 275-5655

Other practice location 2

6016 E Brainerd Rd
Chattanooga, TN 37421-3908
Phone (423) 643-2277

Other practice location 3

2221 N Ocoee St
Cleveland, TN 37311-3922
Phone (423) 790-5000

Other identifiers 7

IdentifierTypeStateIssuer
343569074MedicaidNE
4996028OtherSDBLUE CROSS/BLUE SHIELD
1744OtherSDAVERA HEALTH PLAN
42612OtherSDSANFORD HEALTH
7602500MedicaidSD
2146571MedicaidIA
95M42JOOtherMNBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
521TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back2Health Chiropractic TN LLC CurrentSince Oct 13, 2024 Accepting new patients
Dr. Marcus G Jones Chiropractor Past Accepting new patients
Gamache Chiropractic Past Accepting new patients
Advanced Chiropractic Clinic, PC Chiropractor Past Accepting new patients
Siouxland Wellness Partners Chiropractor Past Accepting new patients

Locations

8301 Dayton Pike
Soddy Daisy, TN 37379
Phone (423) 842-2828

8301 Dayton Pike
#B
Soddy Daisy, TN 37379
Phone (423) 755-7994

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1215900709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 DAYTON PIKE STE B",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373794202",
            "telephone_number": "423-842-2828",
            "fax_number": "423-842-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 DAYTON PIKE STE B",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373794202",
            "telephone_number": "423-842-2828",
            "fax_number": "423-842-1688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 S Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571032450",
            "country_code": "US",
            "telephone_number": "605-275-5655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6016 E Brainerd Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213908",
            "country_code": "US",
            "telephone_number": "423-643-2277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2221 N Ocoee St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373113922",
            "country_code": "US",
            "telephone_number": "423-790-5000",
            "fax_number": "423-643-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARCUS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "521",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "965",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343569074",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4996028",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA HEALTH PLAN",
            "identifier": "1744",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD HEALTH",
            "identifier": "42612",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7602500",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2146571",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "95M42JO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Soddy Daisy, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.