Jayson A Johnson, DC
Individual provider Active NPI Chiropractor · Smithville, TN
NPI 1639229529 · NPPES record last updated May 22, 2012
Key facts
- NPI
- 1639229529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0001783 (TN)
- Practice address
- 1220 S Congress Blvd
Smithville, TN 37166-2035 - Phone
- (615) 597-4445
- Fax
- (615) 597-4477
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Johnson Chiropractic Clinic, PLLC
Practice addresses (Care Compare)
1220 S Congress Blvd
Smithville, TN 37166-2035
Phone (615) 597-4445
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111208000729 | TN | Practitioner - Chiropractic | 6204001852 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1783 | TN | MD | Mental Health Counselor |
| 0001783 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Chiropractic Clinic, PLLC | Chiropractor | Current |
Accepting new patients |
Locations
1220 S Congress Blvd
Smithville, TN 37166
Phone (615) 597-4445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0001783 | TN | Yes |
Addresses
Primary practice location
1220 S Congress Blvd
Smithville, TN 37166-2035
Mailing address
1220 S Congress Blvd
Smithville, TN 37166-2035
Phone (615) 597-4445
Other providers in Smithville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.