Summit Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0000003006 Issued in TN

Legal business name

SUMMIT FAMILY CHIROPRACTIC LLC

Practice address

11227 Lebanon Rd Ste 1F
Mount Juliet, TN 37122-5502

Phone

(615) 583-9788

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Evan Pridmore, D.C.NPI 1700319431

Title

Doctor of Chiropractic

Phone

(615) 583-9788

Specialties & licenses 1

Addresses

Other names 1

• Tru Roots Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

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

• Evan Pridmore, D.C.

  • Chiropractor
  • Mount Juliet, TN
  • NPI 1700319431
  Medicare reassignment NPD Authorized official
• Alexandra Chapman, DC

  • Chiropractor
  • Mount Juliet, TN
  • NPI 1598575797
  Medicare reassignment NPD
• Ryan Hewitt, DC

  • Chiropractor
  • Brentwood, TN
  • NPI 1184347023
  Medicare reassignment NPD

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1467986943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11227 LEBANON RD STE 1F",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371225502",
            "telephone_number": "615-583-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 LEBANON RD STE 1F",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371225502",
            "telephone_number": "615-583-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "PRIDMORE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "615-583-9788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000003006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tru Roots Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Faith Suggs-Fluker
• Leslie Brooke Sulay
• Jay Edmund Sulek, M.D.
• Remy Sullivan, LMHC, LPC-MHSP
• Leo Tagbar Sumatra
• Summit Walk-in Clinic, LLC
• Erin Sumner, OTD, OTR/L
• Surgical Professionals, Inc
• Jeffrey Neil Swindell, BCBA
• Andrea S Taddese, O.D.

• Chiropractor in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.