Individual provider Active NPI

Darrin R Jessop, DC

  • Chiropractor
  • Lakeland, TN
National Provider Identifier
1467608455
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2287 Issued in TN
Practice address
8950 US Highway 64
Suite 109
Lakeland, TN 38002-4566
Phone
(901) 388-0737
Fax
(901) 755-9605
NPI assigned
Aug 11, 2008
Last updated
Aug 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2287 TN Primary

Addresses

Primary practice location

8950 US Highway 64
Suite 109
Lakeland, TN 38002-4566

Mailing address

8950 US Highway 64
Suite 109
Lakeland, TN 38002-4566
Phone (901) 388-0737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081014000521 TN Practitioner - Chiropractic 4789752627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Germantown Chiropractic Clinic PLLCGroup PAC ID 7315193455, 2 clinicians
Lakeland Chiropractic Clinic PLLCGroup PAC ID 7517035686, 2 clinicians

Practice addresses (Care Compare)

2121 Germantown Rd
Suite 4
Germantown, TN 38138-3861
Phone (901) 757-9000

8950 Hwy 64
Suite 104
Lakeland, TN 38002
Phone (901) 388-0737

8950 US Hwy 64
Suite 104
Lakeland, TN 38002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Germantown Chiropractic Clinic PLLC Chiropractor CurrentSince Aug 18, 2012 Accepting new patients
Lakeland Chiropractic Clinic PLLC Chiropractor CurrentSince Sep 12, 2008 Accepting new patients
Terry J. Hanson DC Chiropractor PastSince Aug 18, 2012 Accepting new patients

Locations

2121 S Germantown Rd
Ste 4
Germantown, TN 38138
Phone (901) 757-9000

8950 US Highway 64
Ste 109
Lakeland, TN 38002
Phone (901) 213-0100

Organizations & group practices 3

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": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1467608455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 US HIGHWAY 64",
            "address_2": "SUITE 109",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380024566",
            "telephone_number": "901-388-0737",
            "fax_number": "901-755-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 US HIGHWAY 64",
            "address_2": "SUITE 109",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380024566",
            "telephone_number": "901-388-0737",
            "fax_number": "901-755-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSOP",
        "first_name": "DARRIN",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.