Individual provider Active NPI

Timothy Scott Carruthers, D.C.

  • Chiropractor
  • Johnson City, TN
National Provider Identifier
1780892380
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000001458 Issued in TN
Practice address
801 E Watauga Ave
Johnson City, TN 37601-4113
Phone
(423) 929-3700
Fax
(423) 929-8780
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 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 DC0000001458 TN Primary

Addresses

Primary practice location

801 E Watauga Ave
Johnson City, TN 37601-4113

Mailing address

801 E Watauga Ave
Johnson City, TN 37601-4113
Phone (423) 929-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071101000555 TN Practitioner - Chiropractic 6800983222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health and Wellness PLLCGroup PAC ID 6507122579, 8 clinicians

Practice addresses (Care Compare)

801 E Watauga Ave
Suite 2
Johnson City, TN 37601-4113
Phone (423) 773-9779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0000001458TNMDChiropractor
1458TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health & Wellness PLLC CurrentSince Oct 15, 2019 Accepting new patients
Perfectly Tuned Chiropractic PLLC Chiropractor CurrentSince Dec 16, 2025 Accepting new patients
East Tennessee Neuropathy, PC PastSince Apr 1, 2013 Accepting new patients
Pridemore Family Chiropractic PC Chiropractor Past Accepting new patients
New Life Chiropractic and Wellness Inc Past Accepting new patients

Locations

15 Old Stage Rd
Ste A
Greeneville, TN 37745
Phone (423) 525-5760

801 E Watauga Ave
Johnson City, TN 37601
Phone (423) 773-0300

801 E Watauga Ave
Ste 2
Johnson City, TN 37601
Phone (423) 773-0300

Organizations & group practices 5

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1780892380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E WATAUGA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014113",
            "telephone_number": "423-929-3700",
            "fax_number": "423-929-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WATAUGA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014113",
            "telephone_number": "423-929-3700",
            "fax_number": "423-929-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRUTHERS",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.