Ricky Hall – Orthopedic Chiropractor in Gray, TN

Key facts

NPI: 1508979337
Entity type: Individual (NPI type 1)
Primary specialty: Orthopedic Chiropractor 111NX0800X
License: DC1880 (TN)
Practice address: 5205 Bobby Hicks Hwy
Suite 2
Gray, TN 37615-6215
Phone: (423) 477-9090
Fax: (423) 477-0090
NPI assigned: Aug 16, 2006
Sex: Male
Sole proprietor: No

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.

Hall Family Chiropractic Center Chiropractor · Gray, TN · NPI 1992838320

NPD (past) Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
DC1880	TN	MD	Orthopedic Chiropractor

Practice roles

Organization	Specialty	Status	New patients
Hall Family Chiropractic Center		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Orthopedic Chiropractor	111NX0800X	DC1880	TN	Yes

Addresses

Primary practice location

5205 Bobby Hicks Hwy
Suite 2
Gray, TN 37615-6215

Mailing address

5205 Bobby Hicks Hwy
Suite 2
Gray, TN 37615-6215
Phone (423) 477-9090

Other identifiers

Identifier	Type	State	Issuer
3972926	Medicaid	TN

Other providers in Gray, TN

All providers in Gray, TN · Orthopedic Chiropractor in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.