Jeffrey Carden Hamilton, D.C.
Individual provider Active NPI Chiropractor · Soddy Daisy, TN
NPI 1992804389 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992804389
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- D.C.439 (TN)
- Practice address
- 10005 Dayton Pike
Soddy Daisy, TN 37379-5004 - Phone
- (423) 332-2139
- Fax
- (423) 332-9195
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10005 Dayton Pike
Soddy Daisy, TN 37379-5004
Phone (423) 332-2139
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071005000343 | TN | Practitioner - Chiropractic | 2961597950 | Practice locations: Soddy Daisy, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.C.439 | TN | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | D.C.439 | TN | Yes |
Addresses
Primary practice location
10005 Dayton Pike
Soddy Daisy, TN 37379-5004
Mailing address
10005 Dayton Pike
Soddy Daisy, TN 37379-5004
Phone (423) 332-2139
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3673423 | Medicaid | TN |
Other providers in Soddy Daisy, TN
- Travis Goodwin
- Elizabeth Hope Gregory
- Grounded Chiropractic LLC
- Chasen Kenneth Halcomb
- Hamilton County Health Department
- Lisa Marie Hannah
- Cassandra Marie Haslett-Rogers
- Kyla Hawk
- Hi-Tech Healthcare Inc.
- Laura Paynter Hill
All providers in Soddy Daisy, TN · Chiropractor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.