Individual provider Active NPI

Jessie Leigh Stewart, DC

  • Chiropractor
  • Clarksville, TN
National Provider Identifier
1558110239
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3838 Issued in TN
Practice address
121 W Dunbar Cave Rd
Clarksville, TN 37040-6037
Phone
(931) 542-9420
Fax
(931) 542-9422
NPI assigned
May 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO11247 GA
Chiropractor 111N00000X 3838 TN Primary

Addresses

Primary practice location

121 W Dunbar Cave Rd
Clarksville, TN 37040-6037

Mailing address

8000 S Lamar Rd
Smyrna, TN 37167-5373
Phone (518) 321-9521

Other practice location 1

4319 Covington Hwy
Decatur, GA 30035-1210
Phone (678) 505-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424003138 TN Practitioner - Chiropractic 7113443979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Spine and Physical Medicine, PCGroup PAC ID 1456575141, 7 clinicians

Practice addresses (Care Compare)

121 W Dunbar Cave Rd
Clarksville, TN 37040-6037
Phone (931) 542-5420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO11247GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Spine & Physical Medicine, PC Chiropractor CurrentSince Apr 14, 2025 Accepting new patients
Spine , Muscle and Joint Inc PastSince Dec 6, 2020 Accepting new patients
Hausmann Legacy LLC Chiropractor PastSince May 1, 2024 Accepting new patients

Locations

121 W Dunbar Cave Rd
Clarksville, TN 37040
Phone (931) 542-5420

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1558110239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 S LAMAR RD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675373",
            "telephone_number": "518-321-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W DUNBAR CAVE RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406037",
            "telephone_number": "931-542-9420",
            "fax_number": "931-542-9422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4319 Covington Hwy",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300351210",
            "country_code": "US",
            "telephone_number": "678-505-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JESSIE LEIGH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO11247",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.