Samuel E Poisal IV, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

180 Issued in TN

Practice address

60 Commercial Dr
Atoka Chiropractic Clinic
Atoka, TN 38004

Phone

(901) 837-9320

Fax

(901) 837-9321

NPI assigned

Feb 15, 2006

Last updated

Jan 30, 2012By the provider in NPPES

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

Cleveland Chiropractic College - Kansas City, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEFEDD

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.

• Atoka Medical Clinic, Inc

  • Primary Care Clinic/Center
  • Atoka, TN
  • NPI 1104679299
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1932173036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMMERCIAL DR",
            "address_2": "ATOKA CHIROPRACTIC CLINIC",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "38004",
            "telephone_number": "901-837-9320",
            "fax_number": "901-837-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COMMERCIAL DR",
            "address_2": "ATOKA CHIROPRACTIC CLINIC",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "38004",
            "telephone_number": "901-837-9320",
            "fax_number": "901-837-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POISAL",
        "first_name": "SAMUEL",
        "middle_name": "E",
        "name_suffix": "IV",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall T Paul
• Amanda Peery, FNP-BC
• Danielle Spencer Petersen, DPT, PT
• Timothy W. Pickens, FNP-C
• Dana Poisal, DC
• Sarah Pope, PHARMD
• Erika Webb Posey, FNP-C
• Positive Impact Behavioral Services
• Tiana Lehua Posner, PTA
• Emily Provence

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.