SOUTHERN PHYSICAL MEDICINE (NPI# 1932721958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932721958 |
| Entity Type | Organization |
| Organization Name | SOUTHERN PHYSICAL MEDICINE |
| Practice Address |
2064 Us Highway 45 Byp S Trenton TN 38382-3507 |
| Practice Telephone | 7313307076 |
| Mailing Telephone | 7313307076 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | DR. CHRISTOPHER A DOUGLAS (OWNER) |
| Authorized Official Telephone | 7313307076 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
2064 US HIGHWAY 45 BYP S |
| City | TRENTON |
| State | TN |
| Zip Code | 38382-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639323967 | Kyle Gene Mcbride | Chiropractor | 2064 Us Highway 45 Byp S, Trenton, TN 38382-3507 | 2008-11-13 |
| 1285273433 | Christopher A Douglas | Chiropractor | 2064 Us Highway 45 Byp S, Trenton, TN 38382-3507 | 2020-01-04 |
| 1316316490 | Jake W Davidson | Chiropractor | 2064 Us Highway 45 Byp S, Trenton, TN 38382-3507 | 2015-09-18 |
| 1861729519 | Total Health Chiropractic & Sports Rehabilitation | Chiropractor | 2064 Us Highway 45 Byp S, Trenton, TN 38382-3507 | 2009-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558998583 | Jh Pollard | Occupational Therapy Assistant | 2036 Us Hwy Byp S, Trenton, TN 38382 | 2020-03-27 |
| 1467829515 | Kelly Pulley | Nurse Practitioner | 2017 South College St, Trenton, TN 38382 | 2015-08-25 |
| 1184091332 | John Robert Barnett | Pharmacist | 2045 S. Highway 45, Trenton, TN 38382 | 2015-08-24 |
| 1053739193 | Lisa Schweich | Nurse Practitioner | 1250 Manufacturer's Row, Trenton, TN 38382 | 2014-04-05 |
| 1851641609 | Lauren Ashley Sanders | Licensed Practical Nurse | 244 Loop Rd, Trenton, TN 38382 | 2012-09-19 |
| 1598090920 | Rha Trenton Mr Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1130 High St, Trenton, TN 38382 | 2009-10-02 |
| 1053646489 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 307 E Eaton St, Trenton, TN 38382 | 2009-10-02 |
| 1134454564 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Hwy 45 By-pass, Trenton, TN 38382 | 2009-10-02 |
| 1043545478 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2206 Hwy 45 By-pass, Trenton, TN 38382 | 2009-10-02 |
| 1316272743 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2055 Hwy 45 By-pass A, Trenton, TN 38382 | 2009-10-02 |
| Find all providers in zip 38382 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134789332 | Capital Chiropractic and Pain Management | Chiropractor | 833 Cass Street 1st Floor, Trenton, NJ 08611 | 2019-06-19 |
| 1255686192 | Ashley Nicole Simpson | Chiropractor | 115 W Jones St, Trenton, NC 28585-7599 | 2012-07-17 |
| 1053693309 | Ethan Michael Cross | Chiropractor | 1200 E 9th St, Trenton, MO 64683-2626 | 2011-09-13 |
| 1679860498 | James Cason Durham | Chiropractor | 12605 N Main St, Trenton, GA 30752-2220 | 2011-06-30 |
| 1639323967 | Kyle Gene Mcbride | Chiropractor | 2064 Us Highway 45 Byp S, Trenton, TN 38382-3507 | 2008-11-13 |
| 1235394578 | Neuromechanical Pain Management Associates PC | Chiropractor | 1330 Calhoun Street, Suite 2, Trenton, NJ 08638 | 2008-07-25 |
| 1881886398 | Complete Chiropractic Care, LLC | Chiropractor | 12551 North Main, Trenton, GA 30752 | 2007-08-17 |
| 1265647374 | Mark Christian Liedberg | Chiropractor | 4467 Highway 136 West, Trenton, GA 30752-0799 | 2007-05-11 |
| 1649392473 | Ted O. Angel | Chiropractor | 747 Oak Point Rd, Trenton, ME 04605-6218 | 2007-04-04 |
| 1447374483 | Horace Samuels | Chiropractor | 713 Greenwood Ave, Suite 100, Trenton, NJ 08609-1401 | 2007-03-16 |
| Find all providers in TRENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.