Active NPI
Amy Gay Debter, D.C.
- Chiropractor
- Hixson, TN
National Provider Identifier
1417909995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 1735
- Practice address
- 5407 Hixson Pike
Suite 101
Hixson, TN 37343-4559 - Phone
- (423) 710-1913
- Fax
- (423) 710-1914
- NPI assigned
- May 16, 2006
- Last updated
- Sep 13, 2010
- Sex
- Female
- Sole proprietor
- No
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 | DC 1735 | TN | Primary |
Addresses
Primary practice location
5407 Hixson Pike
Suite 101
Hixson, TN 37343-4559
Mailing address
5407 Hixson Pike
Suite 101
Hixson, TN 37343-4559
Phone (423) 710-1913
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0052280 | Other | TN | CIGNA |
| 4248692 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| 103I700035 | Other | MEDICARE PTAN | |
| 745717 | Other | TN | ACN GROUP, INC. (OPTUMHEALTH) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 1735 | TN | MD | Chiropractor |
| 1735 | TN | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross Chiropractic Center, LLC | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Hixson, TN
- NPI 1447566922
-
- Chiropractor
- Hixson, TN
- NPI 1992811525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284336000000",
"number": "1417909995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5407 HIXSON PIKE",
"address_2": "SUITE 101",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434559",
"telephone_number": "423-710-1913",
"fax_number": "423-710-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5407 HIXSON PIKE",
"address_2": "SUITE 101",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434559",
"telephone_number": "423-710-1913",
"fax_number": "423-710-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBTER",
"first_name": "AMY",
"middle_name": "GAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2010-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC 1735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0052280",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "4248692",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "103I700035",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN GROUP, INC. (OPTUMHEALTH)",
"identifier": "745717",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.