Individual provider Active NPI

Tyler Womble, DC

  • Chiropractor
  • Lafayette, TN
National Provider Identifier
1346062346
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3893 Issued in TN
Practice address
501 Highway 52 Byp W
Lafayette, TN 37083-2636
Phone
(615) 622-7942
NPI assigned
Oct 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3893 TN Primary

Addresses

Primary practice location

501 Highway 52 Byp W
Lafayette, TN 37083-2636

Mailing address

76 Emery Dr
Scottsville, KY 42164-8629
Phone (270) 237-3304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241202001224 KY Practitioner - Chiropractic 1850826710 Reassigns benefits to 5 organizations
I20241216002172 TN Practitioner - Chiropractic 1850826710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Spine Stop Lafayette, PLLCGroup PAC ID 8022423706, 2 clinicians

Practice addresses (Care Compare)

501 Hwy 52 Byp W
Lafayette, TN 37083-2636
Phone (270) 237-3304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3893TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Stop, PLLC Chiropractor CurrentSince Nov 19, 2024 Accepting new patients
Spine Stop Russellville, PLLC Chiropractor CurrentSince Dec 6, 2024 Accepting new patients
Spine Stop Glasgow, PLLC Chiropractor CurrentSince Dec 6, 2024 Accepting new patients
Spine Stop Lafayette, PLLC Chiropractor CurrentSince Oct 30, 2024 Accepting new patients
Spine Stop Portland, PLLC Chiropractor CurrentSince Dec 17, 2024 Accepting new patients
Spine Stop Franklin, PLLC Chiropractor CurrentSince Dec 6, 2024 Accepting new patients
Spine Stop Bowling Green, PLLC Chiropractor CurrentSince Dec 6, 2024 Accepting new patients

Locations

760 Campbell Ln
Ste 120
Bowling Green, KY 42104
Phone (270) 781-3937

208 S Main St
Franklin, KY 42134
Phone (270) 781-6477

1101 Cleveland Ave
Glasgow, KY 42141

1116 W 9th St
Ste 120
Russellville, KY 42276
Phone (270) 908-0841

352 Old Gallatin Rd
Scottsville, KY 42164
Phone (270) 239-2225

501 Highway 52 Byp W
Lafayette, TN 37083
Phone (615) 622-7942

611 W Market St
Portland, TN 37148
Phone (615) 745-4044

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1346062346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 EMERY DR",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421648629",
            "telephone_number": "270-237-3304",
            "fax_number": "270-237-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HIGHWAY 52 BYP W",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370832636",
            "telephone_number": "615-622-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMBLE",
        "first_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.