Active NPI
Stormy Green, D.C.
- Chiropractor
- Bartlett, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3871
- Practice address
- 2690 Kirby Whitten Rd Ste 109
Bartlett, TN 38133-4742 - Phone
- (901) 221-7173
- Fax
- (662) 932-8774
- NPI assigned
- Sep 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3871 | TN | Primary |
Addresses
Primary practice location
2690 Kirby Whitten Rd Ste 109
Bartlett, TN 38133-4742
Mailing address
8101 Hacks Cross Rd Ste 110
Olive Branch, MS 38654-4032
Phone (901) 221-7173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240220002751 | TX | Practitioner - Chiropractic | 4688018443 | Reassigns benefits to 1 organization |
| I20241125000261 | TN | Practitioner - Chiropractic | 4688018443 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Chiro Place of Collierville PLLC
Practice addresses (Care Compare)
3615 S Houston Levee Rd
Suite 110
Collierville, TN 38017-9173
Phone 90122171735
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15751 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Chiropractic, L.L.C. | Current | Accepting new patients | |
| The Chiro Place of Collierville PLLC | Chiropractor | Current | Accepting new patients |
| The Chiro Place of Douglasville PC | Chiropractor | Current | Accepting new patients |
| The Chiro Place PLLC | Chiropractor | Past | Accepting new patients |
| The Chiro Place of Midtown PLLC | Chiropractor | Past | Accepting new patients |
Locations
8101 Hacks Cross Rd
Ste 110
Olive Branch, MS 38654
2690 Kirby Whitten Rd
Ste 109
Bartlett, TN 38133
Phone (901) 217-7173
3615 S Houston Levee Rd
Ste 110
Collierville, TN 38017
Phone (901) 217-7173
3179 Poplar Ave
Memphis, TN 38111
Phone (901) 221-7173
204 Central Expy S
Ste 45
Allen, TX 75013
Phone (214) 383-9170
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 and National Provider Directory roles.
-
- Chiropractor
- Collierville, TN
- NPI 1609234657
-
- Chiropractor
- Douglasville, GA
- NPI 1043098817
-
- Chiropractor
- Memphis, TN
- NPI 1811466279
-
- Chiropractor
- Collierville, TN
- NPI 1013397181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1295513133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 HACKS CROSS RD STE 110",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386544032",
"telephone_number": "901-221-7173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 KIRBY WHITTEN RD STE 109",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381334742",
"telephone_number": "901-221-7173",
"fax_number": "662-932-8774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "STORMY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-21",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "3871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.