Organization Active NPI

Back and Neck Specialists LLC

  • Sports Physician Chiropractor
  • Memphis, TN
National Provider Identifier
1619349388
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2480 Issued in TN
Legal business name
BACK AND NECK SPECIALISTS LLC
Practice address
959 S White Station Rd
Memphis, TN 38117-5811
Phone
(901) 767-8825
Fax
(901) 767-8822
NPI assigned
Oct 21, 2015
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Dr. Lincoln J Cole, D.C.NPI 1174755383
Title
Owner
Phone
(901) 767-8825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 2480 TN Primary

Addresses

Primary practice location

959 S White Station Rd
Memphis, TN 38117-5811

Mailing address

959 S White Station Rd
Memphis, TN 38117-5811
Phone (901) 767-8825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160126001165 TN Part B Supplier - Clinic/Group Practice 8426351438 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

959 S White Station Rd
Memphis, TN 38117
Phone (901) 767-8824

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1619349388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 S WHITE STATION RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175811",
            "telephone_number": "901-767-8825",
            "fax_number": "901-767-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 S WHITE STATION RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175811",
            "telephone_number": "901-767-8825",
            "fax_number": "901-767-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK AND NECK SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "LINCOLN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-767-8825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TN",
            "license": "2480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.