Individual provider Active NPI

Albert Edward Thomas III, DC

  • Chiropractor
  • Hermitage, TN
National Provider Identifier
1720080286
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC1457 Issued in TN
Practice address
1307 Central CT
Hermitage, TN 37076-3153
Phone
(615) 678-8745
Fax
(615) 818-0758
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC1457 TN Primary

Addresses

Primary practice location

1307 Central CT
Hermitage, TN 37076-3153

Mailing address

1307 Central CT
Hermitage, TN 37076-3153
Phone (615) 678-8745

Other identifiers 1

IdentifierTypeStateIssuer
4082367OtherTNBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040814000070 TN Practitioner - Chiropractic 1153393244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1307 Central CT
Hermitage, TN 37076-3153
Phone (615) 678-8745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC1457TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Body Healthcare, Inc Chiropractor CurrentSince Sep 1, 2004 Accepting new patients

Locations

1307 Central Ct
Hermitage, TN 37076
Phone (615) 678-8745

4718 Old Hickory Blvd
Old Hickory, TN 37138
Phone (615) 885-7300

Organizations & group practices 1

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1720080286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 CENTRAL CT",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763153",
            "telephone_number": "615-678-8745",
            "fax_number": "615-818-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 CENTRAL CT",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763153",
            "telephone_number": "615-678-8745",
            "fax_number": "615-818-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ALBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC1457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4082367",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.