Individual provider Active NPI

Mark William Hawkins, D.C.

  • Chiropractor
  • Spring Hill, TN
National Provider Identifier
1386690725
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TN2106 Issued in TN
Practice address
5242 Main St
Spring Hill, TN 37174-2459
Phone
(615) 302-4747
Fax
(615) 302-4748
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X TN2106 TN Primary

Addresses

Primary practice location

5242 Main St
Spring Hill, TN 37174-2459

Mailing address

5242 Main St
Spring Hill, TN 37174-2459
Phone (615) 302-4747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060802000414 TN Practitioner - Chiropractic 6901819200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5242 Main St
Spring Hill, TN 37174-2443
Phone (615) 302-4747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TN2106TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
In Motion Spine & Joint Center, Inc. Chiropractor CurrentSince Mar 27, 2006 Accepting new patients
Arise Therapies LLC PastSince Jun 19, 2017 Accepting new patients

Locations

3011 Longford Dr
Ste 4
Spring Hill, TN 37174
Phone (615) 241-0122

5242 Main St
Spring Hill, TN 37174
Phone (615) 302-4747

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1386690725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5242 MAIN ST",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742459",
            "telephone_number": "615-302-4747",
            "fax_number": "615-302-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5242 MAIN ST",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742459",
            "telephone_number": "615-302-4747",
            "fax_number": "615-302-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "TN2106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.