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SHAW CHIROPRACTIC AND MEDICAL CENTER, LLC
NPI 1710619143
Internal Medicine in Hendersonville, TN

Active since June 24, 2022CLIA 44D2342472 · Waiver
711 E MAIN ST STE 102, HENDERSONVILLE, TN 37075(615) 447-5220(615) 447-5253 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shaw Chiropractic And Medical Center, Llc NPPES

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

SHAW CHIROPRACTIC AND MEDICAL CENTER, LLC (NPI 1710619143) is a healthcare organization registered as an internal medicine in Hendersonville, Tennessee and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through April 20, 2028 and lists Kenneth Ryan Shaw, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1710619143
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHAW CHIROPRACTIC AND MEDICAL CENTER, LLC
Location Address711 E MAIN ST STE 102Hendersonville, TN 37075-2742
Mailing Address711 E Main St Ste 102Hendersonville, TN 37075-2742 · (615) 447-5220 · Fax (615) 447-5253
Phone(615) 447-5220
Fax(615) 447-5253
Organization SubpartNo
Authorized OfficialKenneth Ryan ShawDoctor/owner · (615) 447-5220
Enumeration DateJune 24, 2022
NPPES CertifiedJune 24, 2022
✔ NPI 1710619143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedChiropractorTaxonomy 111N00000X
711 E MAIN ST STE 102, Hendersonville, TN 37075
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2342472

Shaw Chiropractic And Medical Center · Hendersonville, TN
Active · expires Apr 20, 2028
CLIA Number44D2342472
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorKenneth R. Shaw
Laboratory Phone(615) 447-5220
Laboratory LocationShaw Chiropractic And Medical Center711 East Main Street, Suite 102, Hendersonville, TN 37075
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Shaw Chiropractic And Medical Center, LLC's NPI number?

The NPI number for Shaw Chiropractic And Medical Center, LLC is 1710619143. It was assigned to this organization in the NPPES registry on June 24, 2022.

Where is Shaw Chiropractic And Medical Center, LLC located?

Shaw Chiropractic And Medical Center, LLC is located at 711 E Main St Ste 102, Hendersonville, TN 37075. The listed phone number is (615) 447-5220.

What is Shaw Chiropractic And Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Shaw Chiropractic And Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2342472) is associated with this NPI, valid through April 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shaw Chiropractic And Medical Center, LLC was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.