Organization Active NPI

Peak Performance Chiropractic, Nutrition, & Rehabilitation Clinic

  • Chiropractor
  • Franklin, TN
National Provider Identifier
1316202039
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2562 Issued in TN
Legal business name
PEAK PERFORMANCE CHIROPRACTIC, NUTRITION, & REHABILITATION CLINIC
Practice address
3046 Columbia Ave
Suite 203
Franklin, TN 37064-7429
Phone
(615) 599-8828
NPI assigned
Jul 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. Jeffrey Yates, D.C.NPI 1467717181
Title
Co-Owner
Phone
(615) 599-8828

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2561 TN
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2562 TN Primary
Internist ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NI0900X 2561 TN
Internist ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NI0900X 2562 TN
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X 2561 TN
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X 2561 TN
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X 2562 TN

Addresses

Primary practice location

3046 Columbia Ave
Suite 203
Franklin, TN 37064-7429

Mailing address

3046 Columbia Ave
Suite 203
Franklin, TN 37064-7429
Phone (615) 599-8828

Other names 1

  • Peak Performance CNR Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130320000655 TN Part B Supplier - Clinic/Group Practice 5294970323 Receives reassigned benefits from 2 practitioners
Practice locations: Franklin, TN

National Provider Directory

National Provider Directory

Locations

3046 Columbia Ave
Ste 203
Franklin, TN 37064
Phone (615) 599-8828

3046 Columbia Ave
Franklin, TN 37064

Practitioners & affiliated clinicians

Practitioners 2

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": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1316202039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 COLUMBIA AVE",
            "address_2": "SUITE 203",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370647429",
            "telephone_number": "615-599-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 COLUMBIA AVE",
            "address_2": "SUITE 203",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370647429",
            "telephone_number": "615-599-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE CHIROPRACTIC, NUTRITION, & REHABILITATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "615-599-8828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2561",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2562",
            "primary": true
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "TN",
            "license": "2561",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "TN",
            "license": "2562",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "TN",
            "license": "2561",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TN",
            "license": "2561",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TN",
            "license": "2562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Performance CNR Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.