Hermitage Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HERMITAGE CHIROPRACTIC, LLC

Practice address

5512 Old Hickory Blvd
Hermitage, TN 37076-2576

Phone

(615) 942-7282

NPI assigned

Oct 20, 2025

Organization subpart

No

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

Authorized official

Name

Jay Schroder, DC

Title

Owner

Phone

(615) 438-8579

Specialties & licenses 1

Addresses

Other names 1

• HealthSource of Hermitage Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Tyler Bown, DC

  • Chiropractor
  • Irvine, CA
  • NPI 1184355927

  TN

  Medicare reassignment NPD
• Elaina Grace Kamienski, DC

  • Chiropractor
  • Goodlettsville, TN
  • NPI 1871271692
  Medicare reassignment

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1720955396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 OLD HICKORY BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762576",
            "telephone_number": "615-942-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 OLD HICKORY BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762576",
            "telephone_number": "615-942-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMITAGE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "SCHRODER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-438-8579",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Hermitage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael B Hemphill, MD
• Kenneth Roy Henry, P.A.-C.
• Sunny Henry, DPT
• Hermitage Alf Opco LLC
• Hermitage Chiropractic and Rehabilitation PLLC
• Hermitage Cosmetic and Implant Dentistry Mark H Whitefield DDS Gen PTR
• Hermitage Dental Clinic
• Hermitage Dentistry GPS PLLC
• Hermitage Eye Care PLLC
• Hermitage Family & Cosmetic Dentistry, P.C.

• Chiropractor in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.