Active NPI
Lori Ann Grillo, D.C.
- Chiropractor
- Hohenwald, TN
National Provider Identifier
1346214566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1427
- Practice address
- 442 E Main St
Hohenwald, TN 38462-2605 - Phone
- (931) 796-2565
- Fax
- (931) 796-2566
- NPI assigned
- Feb 14, 2006
- Last updated
- Sep 23, 2024
- Sex
- Female
- 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 | 1427 | TN | Primary |
Addresses
Primary practice location
442 E Main St
Hohenwald, TN 38462-2605
Mailing address
442 E Main St
Hohenwald, TN 38462-2605
Phone (931) 796-2565
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4111606 | Other | TN | BLUE CROSS BLUE SHIELD |
| 641668 | Other | TN | UNITED HEALTHCARE |
| 3679474 | Medicaid | TN |
Other names 1
- Dr. Lori Ann Stewart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041026000835 | TN | Practitioner - Chiropractic | 5597726133 | Practice locations: Hohenwald, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
487 E Main St
Hohenwald, TN 38462-2005
Phone 9317962565068442
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1346214566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 E MAIN ST",
"city": "HOHENWALD",
"state": "TN",
"postal_code": "384622605",
"telephone_number": "931-796-2565",
"fax_number": "931-796-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 E MAIN ST",
"city": "HOHENWALD",
"state": "TN",
"postal_code": "384622605",
"telephone_number": "931-796-2565",
"fax_number": "931-796-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRILLO",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "1427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4111606",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "641668",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3679474",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "STEWART",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hohenwald, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.