Jeremy Layne Jessop, D.C.
Individual provider Active NPI Chiropractor · Germantown, TN
NPI 1700977444 · NPPES record last updated Jan 30, 2013
Key facts
- NPI
- 1700977444
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC0000002075 (TN)
- Practice address
- 2121 S Germantown Rd
Germantown, TN 38138-3803 - Phone
- (901) 340-1837
- Fax
- (901) 340-1837
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7844 Farmington Blvd
Germantown, TN 38138-2904
Phone (901) 340-1837
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051129000797 | TN | Practitioner - Chiropractic | 6709806201 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0000002075 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Germantown Chiropractic Clinic PLLC | Chiropractor | Current |
Accepting new patients |
| Active Health Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
| Terry J. Hanson DC | Chiropractor | Past | Accepting new patients |
Locations
7844 Farmington Blvd
Germantown, TN 38138
Phone (901) 340-1837
2121 S Germantown Rd
Germantown, TN 38138
Phone (901) 756-5603
2121 S Germantown Rd
Ste 4
Germantown, TN 38138
Phone (901) 757-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000002075 | TN | Yes |
Addresses
Primary practice location
2121 S Germantown Rd
Germantown, TN 38138-3803
Mailing address
7844 Farmington Blvd
Germantown, TN 38138-2904
Phone (901) 340-1837
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2013. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.