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DR. JERRY BAXTER SHACKELFORD D. C.
NPI 1417073826
Chiropractor in Madison, TN

Active since March 21, 2007
521 E CAMPBELL RD, MADISON, TN 37115(615) 944-2305(615) 868-2596 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jerry Baxter Shackelford D. C. NPPES

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

DR. JERRY BAXTER SHACKELFORD D. C. (NPI 1417073826) is an individual chiropractor in Madison, Tennessee, licensed in Tennessee (00179) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1417073826
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JERRY BAXTER SHACKELFORDCredential: D. C.
Location Address521 E CAMPBELL RDMadison, TN 37115-2501
Mailing Address521 E Campbell RdMadison, TN 37115-2501 · (615) 944-2305 · Fax (615) 868-2596
Phone(615) 944-2305
Fax(615) 868-2596
Sole ProprietorYes
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417073826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TN · 00179
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.

521 E CAMPBELL RD, Madison, TN 37115
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Other Identifiers 1

Medicare ID-Type Unspecified3671553TN · Provider Number

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 Jerry Shackelford's NPI number?

The NPI number for Jerry Shackelford is 1417073826. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Jerry Shackelford located?

Jerry Shackelford practices at 521 E Campbell Rd, Madison, TN 37115. The listed phone number is (615) 944-2305.

What is Jerry Shackelford'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 Jerry Shackelford was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.