Individual provider Active NPI

Justin Phillips, D.C.

  • Chiropractor
  • Chattanooga, TN
National Provider Identifier
1619258183
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2524 Issued in TN
Practice address
7000 Lee Hwy
Suite 600
Chattanooga, TN 37421-1799
Phone
(423) 894-0432
NPI assigned
Aug 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2524 TN Primary

Addresses

Primary practice location

7000 Lee Hwy
Suite 600
Chattanooga, TN 37421-1799

Mailing address

7000 Lee Hwy
Suite 600
Chattanooga, TN 37421-1799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000540 TN Practitioner - Chiropractic 4688846579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4645 N Lee Hwy
Cleveland, TN 37312-4042
Phone (423) 471-4555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2524TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Chiropractic, LLC Chiropractor CurrentSince Mar 1, 2025 Accepting new patients

Locations

4645 N Lee Hwy
Unit 1
Cleveland, TN 37312

4645 N Lee Hwy
Cleveland, TN 37312
Phone (423) 475-6438

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": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1619258183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 LEE HWY",
            "address_2": "SUITE 600",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 LEE HWY",
            "address_2": "SUITE 600",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211799",
            "telephone_number": "423-894-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JUSTIN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.