Tennessee Spine Wellness & Medical Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

TENNESSEE SPINE WELLNESS & MEDICAL GROUP LLC

Practice address

470 Collier Dr
Sevierville, TN 37862-6931

Phone

(865) 286-5421

Fax

(865) 286-9937

NPI assigned

Dec 4, 2019

Organization subpart

No

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

Authorized official

Name

Tanya Grooms

Title

Office Manager

Phone

(865) 286-5421

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 7

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.

• Jessica Breedlove, FNP-C

  • Family Nurse Practitioner
  • Sevierville, TN
  • NPI 1073398418
  Medicare reassignment Care Compare group NPD
• Joshua Timothy Chambers

  • Chiropractor
  • Sevierville, TN
  • NPI 1508183500
  Medicare reassignment Care Compare group NPD
• Thomas Joseph Dambrogio, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1275914541

  TN

  Medicare reassignment Care Compare group NPD
• Andrea Lora Acquaviva-Kimbrough, FNP-BC

  • Family Nurse Practitioner
  • Morristown, TN
  • NPI 1023624319
  Medicare reassignment NPD
• Diana Lynn Schultz

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1073767612
  Medicare reassignment NPD
• Morgan Lea Russell, FNP-C

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1336788330

  TN

  Medicare reassignment NPD
• Kaycee Nicole Dixon, FNP-C

  • Family Nurse Practitioner
  • Kodak, TN
  • NPI 1154885531
  Care Compare group

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1992342307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 COLLIER DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626931",
            "telephone_number": "865-286-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 COLLIER DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626931",
            "telephone_number": "865-286-5421",
            "fax_number": "865-286-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE SPINE WELLNESS & MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "GROOMS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-286-5421"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tennessee Cancer Specialists PLLC
• Tennessee Cancer Specialists PLLC
• Tennessee CVS Pharmacy LLC (CVS Pharmacy #06361)
• Tennessee CVS Pharmacy, L.L.C. (CVS Pharmacy #17899)
• Tennessee Orthopaedic Alliance PA (Tennessee Orthopaedic Clinics a Division of Toa)
• Debra Annette Thacker, SLP
• Stacy Thompson, PH.D.
• Amanda Jeanette Thore, FNP-BC
• Keith Thornton, D.C.
• Timothy C. Wise, O.D. (Wise Eyecare)

• General Practice Physician in Sevierville, TN
• Providers in Sevierville, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.