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BACK PAIN RELIEF CLINIC INC.
NPI 1629274600
Chiropractor in Jackson, TN

Active since June 26, 2007
2012 GREYSTONE PARK, JACKSON, TN 38305(731) 664-6998(731) 664-7161 Get Directions Write a Review

NPPES record last updated: March 16, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Back Pain Relief Clinic Inc. NPPES

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

BACK PAIN RELIEF CLINIC INC. (NPI 1629274600) is a healthcare organization registered as a chiropractor in Jackson, Tennessee and active in the NPI registry since June 2007. The organization lists Shannon L. Bone, Doctor, as its authorized official.

NPPES Registry Identity

NPI1629274600
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBACK PAIN RELIEF CLINIC INC.
Location Address2012 GREYSTONE PARKJackson, TN 38305-3575
Mailing Address2012 Greystone SquareJackson, TN 38305 · (731) 664-6998 · Fax (731) 664-7161
Phone(731) 664-6998
Fax(731) 664-7161
Organization SubpartNo
Authorized OfficialShannon L. BoneDoctor · (731) 664-6998
Enumeration DateJune 26, 2007
Last NPPES UpdateMarch 16, 2010
✔ NPI 1629274600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TN · DC0000001772
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.
2012 GREYSTONE PARK, Jackson, TN 38305
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Other Identifiers 2

Medicare ID-Type Unspecified3723436TN · Medicare Group Number
Medicare NSC6274140001TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Back Pain Relief Clinic Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Back Pain Relief Clinic Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Shannon Bone, D.C.
Chiropractic
NPI 1790756559
2012 GREYSTONE PARK
Jackson, TN 38305
(731) 664-6998
✔ Accepts MedicareSame address
Meagan Vonholtz, D.C.
Chiropractic
NPI 1508929423
2012 GREYSTONE PARK
Jackson, TN 38305
(731) 664-6998
✔ Accepts MedicareSame address
Adam Copeskey, DC
Chiropractic
NPI 1831697580
149 N STAR DR
Jackson, TN 38305
(731) 664-6998
✔ Accepts Medicare1.8 mi
Percy Stanfield, D.C.
Chiropractic
NPI 1285807065
936 HIGHWAY 51 N STE 1
Ripley, TN 38063
(731) 635-7044
✔ Accepts Medicare40 mi

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 Back Pain Relief Clinic Inc.'s NPI number?

The NPI number for Back Pain Relief Clinic Inc. is 1629274600. It was assigned to this organization in the NPPES registry on June 26, 2007.

Where is Back Pain Relief Clinic Inc. located?

Back Pain Relief Clinic Inc. is located at 2012 Greystone Park, Jackson, TN 38305. The listed phone number is (731) 664-6998.

What is Back Pain Relief Clinic Inc.'s specialty?

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

Is Back Pain Relief Clinic Inc. enrolled in Medicare?

Yes. Back Pain Relief Clinic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Back Pain Relief Clinic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Back Pain Relief Clinic Inc.. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Back Pain Relief Clinic Inc. was last updated on March 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.