Philip Glenn Tankersley, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1052 Issued in AL

Practice address

2015 Cherokee Ave SW
Suite B
Cullman, AL 35055-5552

Phone

(256) 737-9999

Fax

(256) 739-5833

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1983

Medicare assignment

May accept Medicare assignment

Group practices

Tankersley Chiropractic Clinic P.C.Group PAC ID 6305006958, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tankersley Chiropractic Clinic P.C.

  • Chiropractor
  • Cullman, AL
  • NPI 1992841266
  Medicare reassignment Care Compare group Authorized official
• Tankersley Chiropractic Clinic Inc.

  • Chiropractor
  • Cullman, AL
  • NPI 1861935983
  NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619060779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 CHEROKEE AVE SW STE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555552",
            "telephone_number": "256-737-9999",
            "fax_number": "256-739-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 CHEROKEE AVE SW",
            "address_2": "SUITE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555552",
            "telephone_number": "256-737-9999",
            "fax_number": "256-739-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKERSLEY",
        "first_name": "PHILIP",
        "middle_name": "GLENN",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70834",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Araceli R Sweeney, P.A.
• Ian Carl Sweitzer, DO
• Bahador M Tafazoli, MD
• Tankersley Chiropractic Clinic Inc.
• Tankersley Chiropractic Clinic P.C.
• Taylor J Tankersley
• Kathy H Tanner, LICSW
• Ashley Taylor, NP
• Britney Taylor, MS
• Donald Taylor

• Chiropractor in Cullman, AL
• Providers in Cullman, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.