SOUTHERN SPINE AND SPORT LLC
NPI 1366909822
Chiropractor in Mount Juliet, TN

Active since February 20, 2019
2530 N MOUNT JULIET RD, MOUNT JULIET, TN 37122(615) 758-6422(615) 758-6422 Get Directions Write a Review

NPPES record last updated: February 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Spine And Sport Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN SPINE AND SPORT LLC (NPI 1366909822), doing business as Optimal Health Chiropractic, is a healthcare organization registered as a chiropractor in Mount Juliet, Tennessee and active in the NPI registry since February 2019. The organization lists Daniel Holland, Head Clinician, as its authorized official.

NPPES Registry Identity

NPI1366909822
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHERN SPINE AND SPORT LLC
Location Address2530 N MOUNT JULIET RDMount Juliet, TN 37122-3007
Mailing Address3055 Kirkland CirMount Juliet, TN 37122-8549 · (615) 758-6422
Fax(615) 758-6422
Organization SubpartNo
Authorized OfficialDaniel HollandHead Clinician · (615) 758-6422
Enumeration DateFebruary 20, 2019
NPI 1366909822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
2530 N MOUNT JULIET RD, Mount Juliet, TN 37122

Other Names 1

Doing Business AsOptimal Health Chiropractic

Other Identifiers 1

Other4257004TN · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2530 N MOUNT JULIET RD
MOUNT JULIET, TN 37122
Chiropractor
2530 N MOUNT JULIET RD
MOUNT JULIET, TN 37122

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 Southern Spine And Sport LLC's NPI number?

The NPI number for Southern Spine And Sport LLC is 1366909822. It was assigned to this organization in the NPPES registry on February 20, 2019. The provider is doing business as Optimal Health Chiropractic.

Where is Southern Spine And Sport LLC located?

Southern Spine And Sport LLC is located at 2530 N Mount Juliet Rd, Mount Juliet, TN 37122. The listed phone number is (615) 758-6422.

What is Southern Spine And Sport LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Southern Spine And Sport LLC was last updated on February 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.