Organization Active NPI

Generation Chiropractic

  • Chiropractor
  • Gallatin, TN
National Provider Identifier
1225420888
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2828 Issued in TN
Legal business name
GENERATION CHIROPRACTIC
Doing business as
Chiropractic
Practice address
179 Hancock St Ste 200
Gallatin, TN 37066-6344
Phone
(615) 527-7960
NPI assigned
Feb 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. Deandra Nicole Herndon, D.C.NPI 1750788139
Title
Chiropractor
Phone
(270) 293-6285

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2828 TN Primary

Addresses

Primary practice location

179 Hancock St Ste 200
Gallatin, TN 37066-6344

Mailing address

179 Hancock St
Suite 200
Gallatin, TN 37066-6346
Phone (615) 527-7960

Other names 1

  • Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150413001157 TN Part B Supplier - Clinic/Group Practice 8325366883 Receives reassigned benefits from 3 practitioners
Practice locations: Gallatin, TN

National Provider Directory

National Provider Directory

Locations

179 Hancock St
Ste 200
Gallatin, TN 37066
Phone (615) 461-8557

520 Highway 76
Ste 6
White House, TN 37188
Phone (615) 285-7970

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1225420888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 HANCOCK ST",
            "address_2": "SUITE 200",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666346",
            "telephone_number": "615-527-7960",
            "fax_number": "615-527-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 HANCOCK ST STE 200",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666344",
            "telephone_number": "615-527-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATION CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "DEANDRA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "270-293-6285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.