Individual provider Active NPI

Nicholas Charles Celeslie, D.C.

  • Chiropractor
  • Jamestown, TN
National Provider Identifier
1740844778
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3197 Issued in TN
Practice address
408 S Main St Ste C
Jamestown, TN 38556-3709
Phone
(931) 879-8931
Fax
(931) 897-8932
NPI assigned
Apr 25, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 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 3197 TN Primary

Addresses

Primary practice location

408 S Main St Ste C
Jamestown, TN 38556-3709

Mailing address

1364 Interstate Dr Ste 101
Crossville, TN 38555-6187
Phone (931) 456-8880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lauren@jamestownfamilychiropractic.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190515003388 TN Practitioner - Chiropractic 1153664024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford ChiropracticGroup PAC ID 3375712193, 9 clinicians

Practice addresses (Care Compare)

415 E University St
Livingston, TN 38570-1511
Phone (931) 823-8931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3197TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Chiropractic Chiropractor CurrentSince Apr 23, 2019 Accepting new patients

Locations

1364 Interstate Dr
Ste 101
Crossville, TN 38555
Phone (931) 456-8880

408 S Main St
Jamestown, TN 38556
Phone (931) 879-8931

408 S Main St
Ste C
Jamestown, TN 38556
Phone (931) 879-8931

415 E University St
Livingston, TN 38570
Phone (931) 823-5653

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1740844778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 INTERSTATE DR STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385556187",
            "telephone_number": "931-456-8880",
            "fax_number": "931-456-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S MAIN ST STE C",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563709",
            "telephone_number": "931-879-8931",
            "fax_number": "931-897-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELESLIE",
        "first_name": "NICHOLAS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren@jamestownfamilychiropractic.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "408 S Main St Ste C",
            "city": "Jamestown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "385563709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamestown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.