Active NPI
Mark Boyd Groff, D.C.
- Chiropractor
- Gallatin, TN
National Provider Identifier
1336233683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC1343
- Practice address
- 1167 Nashville Pike
Gallatin, TN 37066 - Phone
- (615) 451-3400
- Fax
- (615) 451-3544
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | DC1343 | TN | Primary |
Addresses
Primary practice location
1167 Nashville Pike
Gallatin, TN 37066
Mailing address
1167 Nashville Pike
Gallatin, TN 37066
Phone (615) 451-3400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2052943 | Other | TN | AETNA |
| 5651996 | Other | TN | CIGNA |
| 3092896 | Other | TN | BCBS OF TN |
| 44-40329 | Other | TN | UHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC1343 | TN | MD | Chiropractor |
| 1343 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gallatin Chiropractic Clinic | Chiropractor | Current | Accepting new patients |
Locations
1167 Nashville Pike
Gallatin, TN 37066
Phone (615) 451-3400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Hendersonville, TN
- NPI 1679053508
Organizations & group practices 1
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
- Gallatin, TN
- NPI 1225534514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1336233683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 NASHVILLE PIKE",
"city": "GALLATIN",
"state": "TN",
"postal_code": "37066",
"telephone_number": "615-451-3400",
"fax_number": "615-451-3544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1167 NASHVILLE PIKE",
"city": "GALLATIN",
"state": "TN",
"postal_code": "37066",
"telephone_number": "615-451-3400",
"fax_number": "615-451-3544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROFF",
"first_name": "MARK",
"middle_name": "BOYD",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC1343",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2052943",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5651996",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "3092896",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "44-40329",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.