Individual provider Active NPI

Kurt A Shull, DC

  • Chiropractor
  • Winchester, TN
National Provider Identifier
1376507970
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0823 Issued in TN
Practice address
1025 S College St
Winchester, TN 37398-2236
Phone
(931) 967-4232
Fax
(931) 962-1988
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0823 TN Primary

Addresses

Primary practice location

1025 S College St
Winchester, TN 37398-2236

Mailing address

1025 S College St
Winchester, TN 37398-2236
Phone (931) 967-4232

Other practice location 1

16 1st St
Monteagle, TN 37356-7433
Phone (931) 924-4869

Other practice location 2

107 E Grundy St
Tullahoma, TN 37388-3613
Phone (931) 408-9567

Other identifiers 1

IdentifierTypeStateIssuer
3676275MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110902000102 TN Practitioner - Chiropractic 8628248523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shull Chiropractic Clinic PLLCGroup PAC ID 8426228578, 3 clinicians

Practice addresses (Care Compare)

1025 S College St
Winchester, TN 37398-2236
Phone (931) 967-4232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0823TNMDChiropractor
823TNMDDental Hygienist

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1376507970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S COLLEGE ST",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982236",
            "telephone_number": "931-967-4232",
            "fax_number": "931-962-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S COLLEGE ST",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982236",
            "telephone_number": "931-967-4232",
            "fax_number": "931-962-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 1st St",
            "address_purpose": "LOCATION",
            "city": "Monteagle",
            "state": "TN",
            "postal_code": "373567433",
            "country_code": "US",
            "telephone_number": "931-924-4869",
            "fax_number": "931-962-1988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 E Grundy St",
            "address_purpose": "LOCATION",
            "city": "Tullahoma",
            "state": "TN",
            "postal_code": "373883613",
            "country_code": "US",
            "telephone_number": "931-408-9567",
            "fax_number": "931-962-1988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHULL",
        "first_name": "KURT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3676275",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.