Individual provider Active NPI

Jeremy Kozuh, DC

  • Chiropractor
  • Hendersonville, TN
National Provider Identifier
1447819891
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0000003024 Issued in TN
Practice address
326 New Shackle Island Rd Ste 100
Hendersonville, TN 37075-2492
Phone
(615) 447-5088
Fax
(615) 447-5244
NPI assigned
Jun 10, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 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 0000003024 TN Primary

Addresses

Primary practice location

326 New Shackle Island Rd Ste 100
Hendersonville, TN 37075-2492

Mailing address

326 New Shackle Island Rd Ste 100
Hendersonville, TN 37075-2492
Phone (615) 447-5088

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@stewartchiropractic.com Direct Stewart Chiropractic Center PC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731001954 TN Practitioner - Chiropractic 0042546871 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3024TNMDObstetrics & Gynecology Physician
0000003024TNMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: info@stewartchiropractic.com

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, 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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1447819891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 NEW SHACKLE ISLAND RD STE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752492",
            "telephone_number": "615-447-5088",
            "fax_number": "615-447-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 NEW SHACKLE ISLAND RD STE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752492",
            "telephone_number": "615-447-5088",
            "fax_number": "615-447-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZUH",
        "first_name": "JEREMY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "0000003024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@stewartchiropractic.com",
            "affiliation": "Y",
            "endpointDescription": "office",
            "affiliationName": "Stewart Chiropractic Center PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "326 New Shackle Island Rd Ste 100",
            "city": "Hendersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370752492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.