Individual provider Active NPI

Thomas Potts

  • Chiropractor
  • Danville, KY
National Provider Identifier
1275906547
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
264434 Issued in KY
Practice address
1420 Hustonville Rd
Danville, KY 40422-2424
Phone
(859) 236-5562
Fax
(859) 236-5564
NPI assigned
Nov 8, 2015
Last updated
May 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 264434 KY Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Athletic Trainer 2255A2300X NU

Addresses

Primary practice location

1420 Hustonville Rd
Danville, KY 40422-2424

Mailing address

1420 Hustonville Rd
Danville, KY 40422-2424
Phone (859) 236-5562

Other identifiers 1

IdentifierTypeStateIssuer
7100691810MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200914002720 KY Practitioner - Chiropractic 2567880164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Basics Chiropractic LLCGroup PAC ID 5890776686, 4 clinicians

Practice addresses (Care Compare)

1420 Hustonville Rd
Danville, KY 40422-2424
Phone (859) 236-5562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
264434KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Basics Chiropractic, LLC Chiropractor CurrentSince Dec 15, 2023 Accepting new patients
Potts Family Chiropractic PC Chiropractor Current Accepting new patients

Locations

1420 Hustonville Rd
Danville, KY 40422
Phone (859) 236-5562

Organizations & group practices 2

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": "1446940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1275906547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 HUSTONVILLE RD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222424",
            "telephone_number": "859-236-5562",
            "fax_number": "859-236-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 HUSTONVILLE RD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222424",
            "telephone_number": "859-236-5562",
            "fax_number": "859-236-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-08",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "264434",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100691810",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.