Chris Edward Jackson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2231 Issued in TN

Practice address

2308D Memorial Blvd
Springfield, TN 37172-3929

Phone

(615) 382-8144

Fax

(615) 382-8145

NPI assigned

May 4, 2006

Last updated

May 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robertson County Physical Medicine LLCGroup PAC ID 0244496925, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robertson County Physical Medicine LLC

  • General Practice Physician
  • Springfield, TN
  • NPI 1790045060
  Medicare reassignment Care Compare group NPD Authorized official
• Jackson and Moor, LLC

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1407107378
  NPD Authorized official
• Jax5, LLC

  dba True Health & Wellness

  • General Practice Physician
  • Springfield, TN
  • NPI 1558144295
  NPD Authorized official
• Healthsource Chiropractic of Springfield

  • Chiropractor
  • Springfield, TN
  • NPI 1245475615
  Authorized official Same address or phone
• Bryson Healthcare Inc.

  dba Moncks Corner Chiropractic

  • Chiropractor
  • Moncks Corner, SC
  • NPI 1700031200
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1336197318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308D MEMORIAL BLVD",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723929",
            "telephone_number": "615-382-8144",
            "fax_number": "615-382-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308D MEMORIAL BLVD",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723929",
            "telephone_number": "615-382-8144",
            "fax_number": "615-382-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHRIS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2231",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2269",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Impact Healthcare, PLLC
• Intelligent Therapy Staffing
• Intelligent Therapy Staffing Inc (SpeechPath Outpatient Services)
• Intelligent Therapy Staffing, Inc.
• Maria Irizarry
• Robert Jackson
• Ronnie Lee Jackson, MD
• Stephanie Jackson, OTR/L
• Amy Jacky, PMHNP
• John Jason James, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.