Adam John Copeskey, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0000003034 Issued in TN

Practice address

149 N Star Dr
Jackson, TN 38305-5634

Phone

(731) 664-6998

NPI assigned

Jan 29, 2018

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

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back Pain Relief Clinic, IncGroup PAC ID 4486541653, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Back Pain Relief Clinic Inc.

  • Chiropractor
  • Jackson, TN
  • NPI 1629274600
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1831697580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 N STAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055634",
            "telephone_number": "731-664-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N STAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055634",
            "telephone_number": "731-664-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPESKEY",
        "first_name": "ADAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "0000003034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clay M Cooper, PHARM.D.
• Joe B Cooper
• Nicole Schlecht Cooper, OT
• Sharon Bates Copeland
• Stephanie L Copeland, CRNA
• Samanta Copley, RBT
• Carmen Corder, RN
• Corderro Care LLC
• Corderro Care LLC
• Core Heart & Medical Center PLLC

• Chiropractor in Jackson, TN
• Providers in Jackson, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.