Individual provider Active NPI

Stephanie Halcomb

  • Chiropractor
  • Cordova, TN
National Provider Identifier
1801044292
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000002243 Issued in TN
Practice address
8101 Walnut Run Rd
Cordova, TN 38018-6398
Phone
(901) 651-7575
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000002243 TN Primary

Addresses

Primary practice location

8101 Walnut Run Rd
Cordova, TN 38018-6398

Mailing address

8101 Walnut Run Rd
Cordova, TN 38018-6398
Phone (901) 651-7575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100311000582 TN Practitioner - Chiropractic 8123153418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cole Chiropractic CenterGroup PAC ID 4082717103, 2 clinicians

Practice addresses (Care Compare)

8101 Walnut Run Rd
Cordova, TN 38018-6398
Phone (901) 755-5515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0000002243TNMDChiropractor
2243TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Chiropractic Center Chiropractor CurrentSince Feb 10, 2010 Accepting new patients
Cole Chiropractic Center Chiropractor PastSince Feb 10, 2010 Accepting new patients

Locations

8101 Walnut Run Rd
Cordova, TN 38018
Phone (901) 651-7575

Interoperability endpoints

  • Direct secure messaging: doc@ccc0007.direct.chirotouch.md

Organizations & group practices 2

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": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1801044292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 WALNUT RUN RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186398",
            "telephone_number": "901-651-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 WALNUT RUN RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186398",
            "telephone_number": "901-651-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALCOMB",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000002243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.