Individual provider Active NPI

Elizabeth Shammah Totty, DC

  • Chiropractor
  • Mt Juliet, TN
National Provider Identifier
1487985867
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2410 Issued in TN
Practice address
541 N. Mt. Juliet Rd
Suite 2101
Mt Juliet, TN 37122
Phone
(615) 758-7101
Fax
(615) 758-7102
NPI assigned
Jan 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 2410 TN
Chiropractor 111N00000X 2410 TN Primary

Addresses

Primary practice location

541 N. Mt. Juliet Rd
Suite 2101
Mt Juliet, TN 37122

Mailing address

541 N. Mt. Juliet Rd
Suite 2101
Mt Juliet, TN 37122
Phone (615) 758-7101

Other names 1

  • Elizabeth Ann Shammah Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110208000769 TN Practitioner - Chiropractic 1759561731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Totty Chiropractic of Mt. Juliet, PLLCGroup PAC ID 1850478686, 3 clinicians

Practice addresses (Care Compare)

1316 Central CT
Hermitage, TN 37076-3142
Phone (615) 885-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2410TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Totty Chiropractic of Mt. Juliet, PLLC CurrentSince Sep 22, 2010 Accepting new patients

Locations

1316 Central Ct
Hermitage, TN 37076
Phone (615) 885-8282

541 N Mount Juliet Rd
Ste 2101
Mt Juliet, TN 37122
Phone (615) 758-7101

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1487985867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 N. MT. JULIET RD",
            "address_2": "SUITE 2101",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-758-7101",
            "fax_number": "615-758-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 N. MT. JULIET RD",
            "address_2": "SUITE 2101",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-758-7101",
            "fax_number": "615-758-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTTY",
        "first_name": "ELIZABETH",
        "middle_name": "SHAMMAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TN",
            "license": "2410",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SHAMMAH",
            "middle_name": "ANN",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.