Samuel F Messimer, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

739 Issued in TN

Practice address

501 W Oakland Ave
Suite #3
Johnson City, TN 37604-1666

Phone

(423) 283-1300

Fax

(423) 283-1306

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1990

Medicare assignment

May accept Medicare assignment

Group practices

Balanced Medical Center PLLCGroup PAC ID 1557795176, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Balanced Medical Center PLLC

  • General Practice Physician
  • Johnson City, TN
  • NPI 1952953648
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1801807698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W OAKLAND AVE",
            "address_2": "SUITE #3",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041666",
            "telephone_number": "423-283-1300",
            "fax_number": "423-283-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W OAKLAND AVE",
            "address_2": "SUITE #3",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041666",
            "telephone_number": "423-283-1300",
            "fax_number": "423-283-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSIMER",
        "first_name": "SAMUEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TN",
            "license": "739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "3014511",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey R Merrill, MD
• Carolyn S. Merriman, FNP
• Suzanne Kennerly Merritt, COTA/L
• Krystal Starr Merz, LPN
• Messiah Transportation
• Lindsay Messinger, M.D.
• Jill Metcalf, M.S, CCC-SLP
• Basundhara Mete, MBBS
• Ray Wallace Mettetal Jr., M.D.
• Kevin Allen Metzger, D.O.

• Sports Physician Chiropractor in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Sports Physician Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.