Active NPI
Sheri Denise Wingate, D.C.
- Chiropractor
- Piney Flats, TN
National Provider Identifier
1366468993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- TN 749
- Practice address
- 5661 Highway 11 E
Suite 1
Piney Flats, TN 37686-4462 - Phone
- (423) 538-4000
- Fax
- (423) 538-8144
- NPI assigned
- Jul 15, 2006
- 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 | TN 749 | TN | Primary |
Addresses
Primary practice location
5661 Highway 11 E
Suite 1
Piney Flats, TN 37686-4462
Mailing address
PO Box 736
Piney Flats, TN 37686-0736
Phone (423) 538-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3675797 | Medicaid | TN | |
| 3055482 | Other | TN | BLUE CROSS PROVIDER NUMBE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111202000520 | TN | Practitioner - Chiropractic | 7315112364 | Practice locations: Piney Flats, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5661 Hwy 11 E
Suite 1
Piney Flats, TN 37686-4463
Phone (423) 538-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN 749 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piney Flats Chiropractic Center | Current | Accepting new patients | |
| DRB Consulting Services, LLC | Chiropractor | Past | Accepting new patients |
Locations
5661 Highway 11 E
Ste 1
Piney Flats, TN 37686
Phone (423) 538-4000
Organizations & group practices 2
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.
-
- Clinic/Center
- Piney Flats, TN
- NPI 1184575722
-
- Chiropractor
- Johnson City, TN
- NPI 1518583731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366468993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 736",
"city": "PINEY FLATS",
"state": "TN",
"postal_code": "376860736",
"telephone_number": "423-538-4000",
"fax_number": "423-538-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5661 HIGHWAY 11 E",
"address_2": "SUITE 1",
"city": "PINEY FLATS",
"state": "TN",
"postal_code": "376864462",
"telephone_number": "423-538-4000",
"fax_number": "423-538-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGATE",
"first_name": "SHERI",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "TN 749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3675797",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "3055482",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Piney Flats, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.