CHRISTOPHER A DOUGLAS DC
NPI 1285273433
Chiropractor in Jackson, TN
About Christopher A Douglas Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTOPHER A DOUGLAS DC (NPI 1285273433) is an individual chiropractor in Jackson, Tennessee, licensed in Tennessee (3251) and active in the NPI registry since January 2020.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Christopher A Douglas Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Christopher Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60611
- Reassigned Medicare billing, Illinois enrollment
- 61 clinicians in this Medicare group
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 Christopher Douglas's NPI number?
The NPI number for Christopher Douglas is 1285273433. It was assigned to this individual provider in the NPPES registry on January 4, 2020.
Where is Christopher Douglas located?
Christopher Douglas practices at 429 Walker Rd Ste B, Jackson, TN 38305. The listed phone number is (731) 592-9352.
What is Christopher Douglas's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Christopher Douglas enrolled in Medicare?
Yes. Christopher Douglas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Christopher Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Douglas reassigns Medicare benefits to Active Wellness LLC (Chicago, IL). The 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 Christopher Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Christopher Douglas was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Christopher A Douglas, DC · NPI 1285273433
Chiropractor provider in Jackson, Tennessee. Individual provider, active in the CMS NPPES registry since January 4, 2020.
## Identity
- **NPI:** 1285273433 (Entity type: Individual)
- **Enumerated:** January 4, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 3251 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 429 WALKER RD, STE B, Jackson, TN 38305-7419
- **Phone:** (731) 592-9352
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Active Wellness LLC (NPI 1447685052, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2021
- **Other identifiers:** Other 3251 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1285273433) · Data from the CMS NPPES public registry.