Jeffrey McKinley, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC717 Issued in TN

Practice address

358 Caldwell St
McMinnville, TN 37110-2032

Phone

(931) 473-2355

NPI assigned

Sep 15, 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 4

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Middle Tennessee Pain Management

  • Interventional Pain Medicine Physician
  • McMinnville, TN
  • NPI 1033493184
  NPD (past) Authorized official

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1942306253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 CALDWELL ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102032",
            "telephone_number": "931-473-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 CALDWELL ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102032",
            "telephone_number": "931-473-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TN",
            "license": "DC717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD TN",
            "identifier": "0201158",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1370821",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3675586",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3271054",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramsey Witt McCoy, PTA
• Sarah Renee McCurry, LPN
• Coe Michael McGrath, PA
• Amy Leigh McGregor, RDN
• Mattie Cantrell McGregor
• Charity Parker McMackins, LCSW
• Caitlin McMahan, PHARMD
• McMinnville Boarding Home for the Elderly
• McMinnville Drug Center Inc
• McMinnville Manor Opco LLC

• Sports Physician Chiropractor in McMinnville, TN
• Providers in McMinnville, 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 Jan 17, 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.