Individual provider Active NPI

Sarah Elizabeth Wilson, DC

  • Chiropractor
  • Scottsville, KY
National Provider Identifier
1407617160
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
289977 Issued in KY
Practice address
352 Old Gallatin Rd
Scottsville, KY 42164-8666
Phone
(270) 237-3304
Fax
(270) 237-3305
NPI assigned
Jan 19, 2024
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 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 289977 KY Primary

Addresses

Primary practice location

352 Old Gallatin Rd
Scottsville, KY 42164-8666

Mailing address

352 Old Gallatin Rd
Scottsville, KY 42164-8666
Phone (270) 237-3304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205004088 KY Practitioner - Chiropractic 4789027947 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Park PL
Suite 6
Brownsville, KY 42210-9036
Phone (636) 208-8163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Stop, PLLC Chiropractor CurrentSince Jan 19, 2024 Accepting new patients
Spine Stop Franklin, PLLC Chiropractor CurrentSince May 29, 2025 Accepting new patients
Spine Stop Brownsville, PLLC Chiropractor CurrentSince Sep 4, 2025 Accepting new patients
Spine Stop Russellville, PLLC Chiropractor CurrentSince Feb 21, 2024 Accepting new patients
Spine Stop Bowling Green, PLLC Chiropractor CurrentSince Oct 21, 2024 Accepting new patients

Locations

760 Campbell Ln
Ste 120
Bowling Green, KY 42104
Phone (270) 781-3937

100 Park Pl
#6
Brownsville, KY 42210
Phone (270) 597-8353

208 S Main St
Franklin, KY 42134
Phone (270) 781-6477

1116 W 9th St
Ste 120
Russellville, KY 42276
Phone (270) 908-0841

352 Old Gallatin Rd
Scottsville, KY 42164
Phone (270) 239-2225

354 Old Gallatin Rd
Scottsville, KY 42164

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1407617160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 OLD GALLATIN RD",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421648666",
            "telephone_number": "270-237-3304",
            "fax_number": "270-237-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 OLD GALLATIN RD",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421648666",
            "telephone_number": "270-237-3304",
            "fax_number": "270-237-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "289977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.