CROCKETT SPINE & SPORT PLLC
NPI 1174153738
Chiropractor in Alamo, TN
About Crockett Spine & Sport Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CROCKETT SPINE & SPORT PLLC (NPI 1174153738) is a healthcare organization registered as a chiropractor in Alamo, Tennessee and active in the NPI registry since January 2020. The organization lists Jake Wayne Whitby, Owner/chiropractic Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crockett Spine & Sport Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Crockett Spine & Sport PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Crockett Spine & Sport PLLC's NPI number?
The NPI number for Crockett Spine & Sport PLLC is 1174153738. It was assigned to this organization in the NPPES registry on January 23, 2020.
Where is Crockett Spine & Sport PLLC located?
Crockett Spine & Sport PLLC is located at 143 S Bells St, Alamo, TN 38001. The listed phone number is (731) 696-2525.
What is Crockett Spine & Sport PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Crockett Spine & Sport PLLC enrolled in Medicare?
Yes. Crockett Spine & Sport PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crockett Spine & Sport PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Crockett Spine & Sport PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Crockett Spine & Sport PLLC was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Crockett Spine & Sport Pllc · NPI 1174153738
Chiropractor organization in Alamo, Tennessee. Organization record, active in the CMS NPPES registry since January 23, 2020.
## Identity
- **NPI:** 1174153738 (Entity type: Organization)
- **Enumerated:** January 23, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Jake Whitby, OWNER/CHIROPRACTIC PHYSICIAN
## Practice location
- **Address:** 143 S BELLS ST, Alamo, TN 38001-1731
- **Phone:** (731) 696-2525
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1174153738) · Data from the CMS NPPES public registry.