Active NPI
Jessica Smiley Hedrick, D.C.
- Chiropractor
- Madisonville, TN
National Provider Identifier
1780747360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3324405
- Practice address
- 4793 New Highway 68
Madisonville, TN 37354-2134 - Phone
- (423) 442-2100
- Fax
- (423) 442-2108
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3324405 | TN | Primary |
Addresses
Primary practice location
4793 New Highway 68
Madisonville, TN 37354-2134
Mailing address
PO Box 1117
Madisonville, TN 37354-1075
Phone (423) 442-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080409000633 | TN | Practitioner - Chiropractic | 7618066366 | Practice locations: Madisonville, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3324405 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiley Family Chiropractic | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Madisonville, TN
- NPI 1972217321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1780747360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1117",
"city": "MADISONVILLE",
"state": "TN",
"postal_code": "373541075",
"telephone_number": "423-442-2100",
"fax_number": "423-442-2108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4793 NEW HIGHWAY 68",
"city": "MADISONVILLE",
"state": "TN",
"postal_code": "373542134",
"telephone_number": "423-442-2100",
"fax_number": "423-442-2108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMILEY HEDRICK",
"first_name": "JESSICA",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "3324405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madisonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.