Carlie Lynn Wilson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3857 Issued in TN

Practice address

150 Lovell Rd Ste 107
Knoxville, TN 37934-1900

Phone

(865) 288-4568

NPI assigned

May 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marble City Family Chiropractic LLCGroup PAC ID 3476863549, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Marble City Family Chiropractic LLC

  • Chiropractor
  • Knoxville, TN
  • NPI 1396113973
  Medicare reassignment Care Compare group NPD
• Firm Foundation Chiropractic

  • Chiropractor
  • Knoxville, TN
  • NPI 1801626601
  NPD Authorized official
• Brightlife of Knoxville

  • Chiropractor
  • Knoxville, TN
  • NPI 1417612623
  NPD

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1316787286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 LAKE FOREST DR",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373814717",
            "telephone_number": "423-326-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LOVELL RD STE 107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341900",
            "telephone_number": "865-288-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CARLIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Lynn Wilson, LDAC II
• Anne Marie Wilson, CRNA
• Brandi Michelle Wilson, NP
• Brandy Denise Wilson, CCMA
• Candice Lynn Wilson, M.D.
• Carolina Arias Wilson, D.M.D.
• Catherine Lewis Wilson
• Christine C Wilson, NP
• Claudia E Wilson
• Crystal Wilson, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.