Individual provider Active NPI

Richard N Hathcock, D.C.

  • Chiropractor
  • Memphis, TN
National Provider Identifier
1366412447
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1858 Issued in TN
Practice address
4968 William Arnold Rd
Memphis, TN 38117-4238
Phone
(901) 767-8077
Fax
(901) 767-8861
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 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 1858 TN Primary

Addresses

Primary practice location

4968 William Arnold Rd
Memphis, TN 38117-4238

Mailing address

4968 William Arnold Rd
Memphis, TN 38117-4238
Phone (901) 767-8077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090624000660 TN Practitioner - Chiropractic 5991856387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Pacific Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4968 William Arnold Rd
Memphis, TN 38117-4238
Phone (901) 767-8077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1858TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CG&T Solutions LLC Current Accepting new patients
Brookhaven Chiropractic Center, PLLC CurrentSince Jun 1, 2009 Accepting new patients
Cole Chiropractic Center Chiropractor Past Accepting new patients
Cole Chiropractic Center Chiropractor PastSince Feb 10, 2010 Accepting new patients

Locations

4968 William Arnold Rd
Memphis, TN 38117
Phone (901) 685-1356

721 W Brookhaven Cir
Memphis, TN 38117
Phone (901) 767-8077

Organizations & group practices 4

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1366412447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4968 WILLIAM ARNOLD RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174238",
            "telephone_number": "901-767-8077",
            "fax_number": "901-767-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4968 WILLIAM ARNOLD RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174238",
            "telephone_number": "901-767-8077",
            "fax_number": "901-767-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHCOCK",
        "first_name": "RICHARD",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.