Eric Anthony Anderson, D.C.
Individual provider Active NPI Chiropractor · Maryville, TN
NPI 1891714200 · NPPES record last updated Dec 14, 2020
Key facts
- NPI
- 1891714200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC0000001986 (TN)
- Practice address
- 2732 US Highway 411 S
Maryville, TN 37801-3104 - Phone
- (865) 681-5277
- Fax
- (865) 681-5278
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2732 US Hwy 411 S
Maryville, TN 37801-3104
Phone (865) 681-5277
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081031000054 | TN | Practitioner - Chiropractic | 1658326541 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0000001986 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Health and Holistic Medical Center Inc | Current |
Accepting new patients | |
| Align Health Management Inc. | Current |
Accepting new patients | |
| Woodrow W Gwinn Jr | Chiropractor | Past | Accepting new patients |
| Woodrow W. Gwinn Jr. | Chiropractor | Past | Accepting new patients |
| Northwood Sports Medicine & Physical Rehabilitation Inc | Past |
Accepting new patients |
Locations
2732 US Highway 411 S
Maryville, TN 37801
Phone (865) 681-5277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000001986 | TN | Yes |
Addresses
Primary practice location
2732 US Highway 411 S
Maryville, TN 37801-3104
Mailing address
2732 US Highway 411 S
Maryville, TN 37801-3104
Phone (865) 681-5277
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4091848 | Other | TN | BLUE CROSS BLUE SHEILD |
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.