Individual provider Active NPI

Aaron Walter Fearnley, D.C.

  • Chiropractor
  • Lakeland, TN
National Provider Identifier
1992141097
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2681 Issued in TN
Practice address
8950 Highway 64, Suite 109
Lakeland, TN 38002
Phone
(901) 388-0737
NPI assigned
May 15, 2013
Last updated
May 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2681 TN Primary

Addresses

Primary practice location

8950 Highway 64, Suite 109
Lakeland, TN 38002

Mailing address

8950 Highway 64, Suite 109
Lakeland, TN 38002
Phone (901) 388-0737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140220001737 TN Practitioner - Chiropractic 7113157074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Chiropractic Clinic PLLCGroup PAC ID 7517035686, 2 clinicians

Practice addresses (Care Compare)

8950 Hwy 64
Suite 104
Lakeland, TN 38002
Phone (901) 388-0737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Chiropractic Clinic PLLC Chiropractor CurrentSince Dec 2, 2013 Accepting new patients

Organizations & group practices 1

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": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1992141097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 HIGHWAY 64, SUITE 109",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "38002",
            "telephone_number": "901-388-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 HIGHWAY 64, SUITE 109",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "38002",
            "telephone_number": "901-388-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARNLEY",
        "first_name": "AARON",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.