Individual provider Active NPI

Scott A Courtley, D.C.

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1649216052
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000001326 Issued in TN
Practice address
11915 Kingston Pike Ste 100
Knoxville, TN 37934-4843
Phone
(865) 986-8088
Fax
(865) 986-5400
NPI assigned
Jun 22, 2006
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000001326 TN Primary

Addresses

Primary practice location

11915 Kingston Pike Ste 100
Knoxville, TN 37934-4843

Mailing address

11915 Kingston Pike Ste 100
Knoxville, TN 37934-4843
Phone (865) 986-8088

Other practice location 1

101 Cheeyo Way Ste D
Loudon, TN 37774-2798
Phone (865) 440-7856

Other identifiers 1

IdentifierTypeStateIssuer
3044726OtherTNBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051214000411 TN Practitioner - Chiropractic 7810918174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Courtley Chiropractic CorporationGroup PAC ID 2163428996, 3 clinicians

Practice addresses (Care Compare)

101 Cheeyo Way
Suite D
Loudon, TN 37774-2798
Phone (865) 986-8088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DC0000001326TNMDChiropractor
1326TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Courtley Chiropractic Corporation Chiropractor CurrentSince Sep 23, 1996 Accepting new patients

Locations

11915 Kingston Pike
Ste 100
Knoxville, TN 37934
Phone (865) 986-8088

149 Kelsey Ln
Ste 102
Lenoir City, TN 37772
Phone (865) 986-8088

101 Cheeyo Way
Ste D
Loudon, TN 37774
Phone (865) 440-7856

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1649216052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11915 KINGSTON PIKE STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379344843",
            "telephone_number": "865-986-8088",
            "fax_number": "865-986-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11915 KINGSTON PIKE STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379344843",
            "telephone_number": "865-986-8088",
            "fax_number": "865-986-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Cheeyo Way Ste D",
            "address_purpose": "LOCATION",
            "city": "Loudon",
            "state": "TN",
            "postal_code": "377742798",
            "country_code": "US",
            "telephone_number": "865-440-7856",
            "fax_number": "865-986-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURTLEY",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3044726",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.