Individual provider Active NPI

Jared Worthington, DC

  • Chiropractor
  • Bartlett, TN
National Provider Identifier
1700385283
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3083 Issued in TN
Practice address
3189 Kirby Whitten Rd Ste 104
Bartlett, TN 38134-2855
Phone
(901) 922-5398
Fax
(901) 377-3100
NPI assigned
Feb 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3083 TN Primary

Addresses

Primary practice location

3189 Kirby Whitten Rd Ste 104
Bartlett, TN 38134-2855

Mailing address

3729 Oak Bark LN
Bartlett, TN 38135-2480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190309000068 TN Practitioner - Chiropractic 4981943966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7174 Stage Rd
Suite 111
Bartlett, TN 38133-8954
Phone (901) 519-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3083TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Worthington Chiropractic PLLC Chiropractor CurrentSince Nov 1, 2024 Accepting new patients
Cole Chiropractic Center of Bartlett Chiropractor CurrentSince Oct 24, 2018 Accepting new patients
DRC Chiropractic LLC Single Specialty Past Accepting new patients

Locations

2845 Summer Oaks Dr
Bartlett, TN 38134
Phone (901) 377-2340

7174 Stage Rd
Ste 111
Memphis, TN 38133
Phone (901) 519-7777

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1700385283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3729 OAK BARK LN",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381352480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3189 KIRBY WHITTEN RD STE 104",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342855",
            "telephone_number": "901-922-5398",
            "fax_number": "901-377-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHINGTON",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-09",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.