Appalachian Healing Arts PC
Organization Active NPI Chiropractor · Morristown, TN
NPI 1700086642 · NPPES record last updated Feb 22, 2008
Key facts
- NPI
- 1700086642
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC792 (TN)
- Legal business name
- APPALACHIAN HEALING ARTS PC
- Practice address
- 2307 W Andrew Johnson Hwy
Morristown, TN 37814-3272 - Phone
- (423) 581-6955
- Fax
- (423) 581-2200
- NPI assigned
- Jul 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Elisabeth Ann Clarke, D.C.
- Title
- President
- Phone
- (423) 581-6955
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071211000767 | TN | Part B Supplier - Clinic/Group Practice | 8022108216 |
Receives reassigned benefits from 1 practitioner Practice locations: Morristown, TN |
National Provider Directory
Locations
2629 W Andrew Johnson Hwy
Ste 120
Morristown, TN 37814
Phone (423) 258-8035
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC792 | TN | Yes |
Addresses
Primary practice location
2307 W Andrew Johnson Hwy
Morristown, TN 37814-3272
Mailing address
2307 W Andrew Johnson Hwy
Morristown, TN 37814-3272
Phone (423) 581-6955
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36760712 | Other | TN | MEDICARE PTAN |
| 4154404 | Other | TN | BCBS |
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2008. 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.