Organization Active NPI

John Billingsley DC PC

Doing business as Lewisburg Chiropractic Center

  • Chiropractor
  • Lewisburg, TN
National Provider Identifier
1972794410
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000000298 Issued in TN
Legal business name
JOHN BILLINGSLEY DC PC
Doing business as
Lewisburg Chiropractic Center
Practice address
1024 E Commerce St
Lewisburg, TN 37091-3520
Phone
(931) 359-3468
Fax
(931) 270-0952
NPI assigned
Aug 8, 2007
Last updated
Sep 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Dr. John Bernard Billingsley Jr., D.C.NPI 1982737953
Title
Owner
Phone
(931) 359-3468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0000000298 TN Primary

Addresses

Primary practice location

1024 E Commerce St
Lewisburg, TN 37091-3520

Mailing address

1024 E Commerce St
Lewisburg, TN 37091-3520
Phone (931) 359-3468

Other identifiers 1

IdentifierTypeStateIssuer
0018631OtherTNBLUECROSS/BLUESHEILD

Other names 1

  • Lewisburg Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111228000645 TN Part B Supplier - Clinic/Group Practice 9234305038 Receives reassigned benefits from 1 practitioner
Practice locations: Lewisburg, TN

National Provider Directory

National Provider Directory

Locations

1024 E Commerce St
Lewisburg, TN 37091
Phone (615) 359-3468

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1972794410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 E COMMERCE ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913520",
            "telephone_number": "931-359-3468",
            "fax_number": "931-270-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 E COMMERCE ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913520",
            "telephone_number": "931-359-3468",
            "fax_number": "931-270-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BILLINGSLEY DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "BILLINGSLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-359-3468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000000298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHEILD",
            "identifier": "0018631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewisburg Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.