Enhance Sport and Spine Chiropractic
Organization Active NPI Chiropractor · Lewisburg, TN
NPI 1649000910 · NPPES record last updated Feb 20, 2025
Key facts
- NPI
- 1649000910
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- ENHANCE SPORT AND SPINE CHIROPRACTIC
- Practice address
- 870 North Ellington Parkway
Lewisburg, TN 37091 - Phone
- (931) 652-2063
- NPI assigned
- Aug 2, 2024
- Organization subpart
- No
Authorized official
- Name
- Kandra Melton
- Title
- Office Manager
- Phone
- (629) 267-7141
Practitioners 1
-
Matthew Melton, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250227001695 | TN | Part B Supplier - Clinic/Group Practice | 2668992140 |
Receives reassigned benefits from 1 practitioner Practice locations: Lewisburg, TN |
National Provider Directory
Locations
870 N Ellington Pkwy
Lewisburg, TN 37091
Phone (931) 361-4023
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
870 North Ellington Parkway
Lewisburg, TN 37091
Mailing address
870 North Ellington Parkway
Lewisburg, TN 37091
Phone (931) 652-2063
Other names
- Enhance Chiropractic
Other providers in Lewisburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.