Active NPI
Source Chiropractic, PLLC
- Chiropractor
- Clarksville, TN
National Provider Identifier
1295036218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SOURCE CHIROPRACTIC, PLLC
- Practice address
- 1716 Memorial Dr
Clarksville, TN 37043-4542 - Phone
- (931) 591-3740
- NPI assigned
- Nov 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy A Morrey, D.C.
- Title
- Chief Manager
- Phone
- (931) 591-3740
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1716 Memorial Dr
Clarksville, TN 37043-4542
Mailing address
1990 Madison St Ste 101
Clarksville, TN 37043-5002
Phone (931) 591-3740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1477 Dover Rd
Ste D
Clarksville, TN 37042
Phone (931) 591-3740
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Clarksville, TN
- NPI 1497056410
-
- Chiropractor
- Clarksville, TN
- NPI 1588447353
-
- Chiropractor
- Clarksville, TN
- NPI 1396003018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1295036218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 MADISON ST STE 101",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435002",
"telephone_number": "931-591-3740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 MEMORIAL DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434542",
"telephone_number": "931-591-3740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOURCE CHIROPRACTIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-08",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A",
"authorized_official_last_name": "MORREY",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF MANAGER",
"authorized_official_telephone_number": "931-591-3740",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.