Individual provider Active NPI

Jake Wayne Whitby, D.C.

  • Chiropractor
  • Milan, TN
National Provider Identifier
1922547116
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2989 Issued in TN
Practice address
1133 S Main St
Milan, TN 38358-2725
Phone
(731) 234-6208
Fax
(731) 686-8635
NPI assigned
Feb 21, 2017
Last updated
Feb 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2989 TN Primary

Addresses

Primary practice location

1133 S Main St
Milan, TN 38358-2725

Mailing address

1133 S Main St
Milan, TN 38358-2725
Phone (731) 234-6208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170428001076 TN Practitioner - Chiropractic 8325325301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

143 S Bells St
Alamo, TN 38001-1731
Phone (731) 696-2525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crockett Spine & Sport PLLC Chiropractor CurrentSince Feb 18, 2020 Accepting new patients
Balance Medical and Rehab, PLLC CurrentSince Sep 5, 2017 Accepting new patients

Locations

143 S Bells St
Alamo, TN 38001
Phone (731) 696-2525

1133 S Main St
Milan, TN 38358
Phone (731) 234-6208

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1922547116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 S MAIN ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383582725",
            "telephone_number": "731-234-6208",
            "fax_number": "731-686-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 S MAIN ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383582725",
            "telephone_number": "731-234-6208",
            "fax_number": "731-686-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITBY",
        "first_name": "JAKE",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.