Taylormade Medical LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TAYLORMADE MEDICAL LLC

Practice address

611 S 1St St
Pulaski, TN 38478-4201

Phone

(931) 363-7440

NPI assigned

Jan 21, 2021

Last updated

Feb 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Skeets

Title

Office Manager

Phone

(931) 363-7440

Specialties & licenses 2

Addresses

Other names 1

• Taylor Family Chiropractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

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.

• Zachariah Roberts, DC

  • Chiropractor
  • Pulaski, TN
  • NPI 1245801562
  Medicare reassignment NPD
• John Edward Taylor, D.C.

  • Chiropractor
  • Pulaski, TN
  • NPI 1356412274
  Medicare reassignment NPD
• Sean Robert Bachelor, CRNP

  • Family Nurse Practitioner
  • Muscle Shoals, AL
  • NPI 1457928392

  TN

  Medicare reassignment NPD
• Thomas M Bender, D.C.

  • Chiropractor
  • Pulaski, TN
  • NPI 1326196106
  NPD (past)

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1285224543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S 1ST ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784201",
            "telephone_number": "931-363-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S 1ST ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784201",
            "telephone_number": "931-363-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLORMADE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "SKEETS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-363-7440"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Family Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Taylor Family Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sutton Family Pharmacy, LLC.
• Julius Kelby Sutton, PHARMD
• Jacklon Williams Tate, COTA
• Bonnie F Taylor, OD
• John Edward Taylor, D.C.
• Tennessee CVS Pharmacy, L.L.C. (CVS Pharmacy #04365)
• Tennessee Therapy Services, LLC (Ardmore/Pulaski Physical Therapy)
• Tennessee Therapy Services, LLC (Pulaski Physical Therapy, LLC)
• Tennessee Valley Family Care, PLLC
• Tennessee Valley Specialty Center

• Chiropractor in Pulaski, TN
• Providers in Pulaski, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.