Spine Stop Tullahoma, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPINE STOP TULLAHOMA, PLLC

Practice address

213 E Lincoln St
Tullahoma, TN 37388-3633

Phone

(270) 237-3304

NPI assigned

Mar 8, 2021

Organization subpart

No

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

Authorized official

Name

Grant G Watkins, DCNPI 1144251448

Title

Sole MBR

Phone

(270) 237-3304

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derrick Witmer, D.C.

  • Chiropractor
  • Lafayette, TN
  • NPI 1013866219
  Medicare reassignment Care Compare group NPD
• Colin Grant Fultz, D.C

  • Chiropractor
  • Scottsville, KY
  • NPI 1154856292

  TN

  Medicare reassignment Care Compare group NPD
• Grant Guy Watkins II, D.C.

  • Chiropractor
  • Scottsville, KY
  • NPI 1144251448

  TN

  Medicare reassignment NPD Authorized official
• Taylor Elizabeth Thompson, D.C.

  • Chiropractor
  • Scottsville, KY
  • NPI 1205508082
  NPD

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1467047878",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E LINCOLN ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883633",
            "telephone_number": "270-237-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE STOP TULLAHOMA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "270-237-3304",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.spinestop.com",
            "affiliation": "N",
            "address_1": "213 E Lincoln St",
            "city": "Tullahoma",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373883633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Southern Family Markets LLC
• Angela Michelle Sowers, REGISTERED DIETITIAN
• Mark Jan Spaargaren, MA, LPC-MHSP
• Spectrum Medical Associates
• Kelli Elaine Spencer, FNP
• Amber Spry, AGNP-C
• Celesta St. John
• Mary Rebecca Stamps, M.ED.
• State of Tennessee
• Lori Ann Stevens, PNP-C

• Chiropractor in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.