Individual provider Active NPI

Cory Garrett Crowley, D.C.

  • Chiropractor
  • Hendersonville, TN
National Provider Identifier
1972510774
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC2013 Issued in TN
Practice address
260 W Main St
Suite 207
Hendersonville, TN 37075-3347
Phone
(615) 264-8515
Fax
(615) 264-8516
NPI assigned
Aug 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC2013 TN Primary

Addresses

Primary practice location

260 W Main St
Suite 207
Hendersonville, TN 37075-3347

Mailing address

260 W Main St
Suite 207
Hendersonville, TN 37075-3347
Phone (615) 264-8515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050706000803 TN Practitioner - Chiropractic 1951347426 Practice locations: Hendersonville, TN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Tennessee Way
Suite 100
Hendersonville, TN 37075-3160
Phone (615) 264-8515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC2013TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Chiropractic Chiropractor PastSince Jan 1, 1990 Accepting new patients
Sterban Chiropractic, LLC Chiropractor Past Accepting new patients
Revive Chiropractic LLC Chiropractor PastSince Sep 29, 2019 Accepting new patients

Organizations & group practices 3

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972510774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W MAIN ST",
            "address_2": "SUITE 207",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753347",
            "telephone_number": "615-264-8515",
            "fax_number": "615-264-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W MAIN ST",
            "address_2": "SUITE 207",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753347",
            "telephone_number": "615-264-8515",
            "fax_number": "615-264-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "CORY",
        "middle_name": "GARRETT",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC2013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.