Spine Stop Portland, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2848 Issued in TN

Legal business name

SPINE STOP PORTLAND, PLLC

Practice address

305 S Broadway St
Portland, TN 37148-1413

Phone

(270) 237-3304

Fax

(270) 237-3305

NPI assigned

Sep 20, 2016

Last updated

Sep 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grant G Watkins II, D.C.NPI 1144251448

Title

Member

Phone

(270) 237-3304

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 7

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.

• Landon Griffith, DC

  • Chiropractor
  • Brentwood, TN
  • NPI 1225750714
  Medicare reassignment Care Compare group NPD
• Chavis McDermott, DC

  • Chiropractor
  • Portland, TN
  • NPI 1922967603
  Medicare reassignment Care Compare group NPD
• Grant Guy Watkins II, D.C.

  • Chiropractor
  • Scottsville, KY
  • NPI 1144251448

  TN

  Medicare reassignment NPD Authorized official
• Tyler Womble, DC

  • Chiropractor
  • Lafayette, TN
  • NPI 1346062346
  Medicare reassignment NPD
• Austin Burgett, DC

  • Chiropractor
  • Falcon, CO
  • NPI 1801404249

  TN

  Medicare reassignment NPD
• Colin Grant Fultz, D.C

  • Chiropractor
  • Scottsville, KY
  • NPI 1154856292

  TN

  Medicare reassignment NPD
• Taylor Elizabeth Thompson, D.C.

  • Chiropractor
  • Scottsville, KY
  • NPI 1205508082

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1659829562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 OLD GALLATIN RD",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421648666",
            "telephone_number": "270-237-3304",
            "fax_number": "270-237-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S BROADWAY ST",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481413",
            "telephone_number": "270-237-3304",
            "fax_number": "270-237-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE STOP PORTLAND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "270-237-3304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salient Emergency Physicians, PLLC
• Christine Sexton, OTR/L
• Paige Sexton, DPT
• David Eric Snook, D.C.
• Southern Sports Medicine Portland
• State of Tennessee (Sumner County Portland Clinic)
• Michael E Stinnett, RPH
• Dawn Michelle Stinson, PTA
• Shea Sullins
• Sumner Physician Practices LLC (Portland Family Wellness)

• Chiropractor in Portland, TN
• Providers in Portland, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.