Southern Chiropractic and Wellness Center, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2459 Issued in TN

Legal business name

SOUTHERN CHIROPRACTIC AND WELLNESS CENTER, PLLC

Practice address

159 Court SQ
Huntingdon, TN 38344-3709

Phone

(731) 234-9493

NPI assigned

May 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. William Brock Martin, D.C.NPI 1740581735

Title

Owner

Phone

(731) 234-9493

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Brock Martin, DC

  • Chiropractor
  • Huntingdon, TN
  • NPI 1740581735
  Medicare reassignment Care Compare group NPD Authorized official
• Allan Douglas, D.C.

  • Chiropractor
  • Camden, TN
  • NPI 1962470120
  Medicare reassignment Care Compare group NPD
• Amber Nicole Douglas, D.C.

  • Chiropractor
  • Camden, TN
  • NPI 1760451843
  Medicare reassignment Care Compare group NPD
• Krista McGrady Martin, D.C.

  • Chiropractor
  • Huntingdon, TN
  • NPI 1063721983
  Medicare reassignment Care Compare group NPD
• Joshua Aaron Schanuel, D.C.

  • Chiropractor
  • Buford, GA
  • NPI 1699072751
  NPD (past)

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972864650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 COURT SQ",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383443709",
            "telephone_number": "731-234-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 COURT SQ",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383443709",
            "telephone_number": "731-234-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CHIROPRACTIC AND WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BROCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-234-9493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Denise Scott, P.T.
• Sherri Sedgebear, LCSW
• Shelley Simpson, DC
• Brittany Smith, RN
• Jada Smothers, DOCTOR OF PHARMACY
• Jennifer Galey Spivey, PHARM D.
• State of Tennessee
• Margaret Helen Stewart, LCSW
• Yahya Subayti, MD
• Melissa Bailey Swinea, ANP

• All providers in Huntingdon, TN
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.