Allan Douglas, D.C.
Individual provider Active NPI Chiropractor · Camden, TN
NPI 1962470120 · NPPES record last updated Dec 11, 2009
Key facts
- NPI
- 1962470120
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC1852 (TN)
- Practice address
- 130 Hospital Dr
Camden, TN 38320-1618 - Phone
- (731) 584-5444
- Fax
- (731) 584-4174
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Chiropractic and Wellness Center, PLLC
Practice addresses (Care Compare)
130 Hospital Dr
Camden, TN 38320-1618
Phone (731) 535-3205
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111025000190 | TN | Practitioner - Chiropractic | 1759350473 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Chiropractic and Wellness Center, PLLC | Chiropractor | Current |
Accepting new patients |
Locations
130 Hospital Dr
Camden, TN 38320
Phone (731) 535-3205
600 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 352-4504
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC1852 | TN | Yes |
Addresses
Primary practice location
130 Hospital Dr
Camden, TN 38320-1618
Mailing address
PO Box 115
Camden, TN 38320-0115
Phone (731) 584-5444
Other providers in Camden, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2009. 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.