Evan Pridmore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0000003006 Issued in TN

Practice address

11227 Lebanon Rd Ste 1F
Mount Juliet, TN 37122-5502

Phone

(615) 583-9788

NPI assigned

Apr 10, 2017

Last updated

Sep 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Summit Family Chiropractic LLC

  dba Tru Roots Chiropractic

  • Chiropractor
  • Mount Juliet, TN
  • NPI 1467986943
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1700319431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11227 LEBANON RD STE 1F",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371225502",
            "telephone_number": "615-583-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 LEBANON RD STE 1F",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371225502",
            "telephone_number": "615-583-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDMORE",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000003006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Poythress, MSOT
• Jared Prall
• Precision Eye Care, PLLC
• Precision Eye Care, PLLC
• Premise Health of Tennessee Medical PC (Wilson County Schools-Mt. Juliet)
• Juliette Primm
• Priority Physical Therapy, LLC
• Privia Medical Group Tennessee LLC (Sports Ortho Urgent Care)
• Procure Health LLC
• Michael Angelo Proetta, D.C.

• Chiropractor in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.