DEPAUL NICHOLS
NPI 1790442366
Chiropractor in Clarksville, TN

Q: What is Depaul Nichols's NPI number?

The NPI number for Depaul Nichols is 1790442366. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Q: What is Depaul Nichols's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Depaul Nichols was last updated on November 18, 2021. 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.

Active since November 18, 2021

1881 FORT CAMPBELL BLVD, CLARKSVILLE, TN 37042(931) 920-0077 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Depaul Nichols NPPES

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

DEPAUL NICHOLS (NPI 1790442366) is an individual chiropractor in Clarksville, Tennessee, licensed in Tennessee (3499) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1790442366

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDEPAUL NICHOLS

Location Address1881 FORT CAMPBELL BLVDClarksville, TN 37042-5109

Mailing Address1881 Fort Campbell BlvdClarksville, TN 37042-5109 · (931) 920-0077 · Fax (931) 920-0058

Phone(931) 920-0077

Sole ProprietorNo

Enumeration DateNovember 18, 2021

NPPES CertifiedNovember 18, 2021

✔ NPI 1790442366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in TN · 3499

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.

1881 FORT CAMPBELL BLVD, Clarksville, TN 37042

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Depaul Nichols is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

Medicare enrollment records show Depaul Nichols reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brittian Chiropractic Mooresville PLLC

372 mi

Chiropractor

584 BRAWLEY SCHOOL RD STE 105
Mooresville, NC 28117

Reassigned Medicare billing, North Carolina enrollment
2 clinicians in this Medicare group

NPI 1801676903 (704) 360-2628

Provider Profile

398 mi

Chiropractor

245 EXECUTIVE PARK BLVD
Winston Salem, NC 27103

Reassigned Medicare billing, North Carolina enrollment
6 clinicians in this Medicare group

NPI 1336469782 (678) 416-1488

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

FORT CAMPBELL CHIROPRACTIC PLLC

Chiropractor

1881 FORT CAMPBELL BLVD, SUITE B
CLARKSVILLE, TN 37042

Montgomery County (931) 920-0077

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 Depaul Nichols's NPI number?

The NPI number for Depaul Nichols is 1790442366. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Where is Depaul Nichols located?

Depaul Nichols practices at 1881 Fort Campbell Blvd, Clarksville, TN 37042. The listed phone number is (931) 920-0077.

What is Depaul Nichols's specialty?

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

Is Depaul Nichols enrolled in Medicare?

Yes. Depaul Nichols is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Depaul Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Depaul Nichols reassigns Medicare benefits to 2 organizations: Brittian Chiropractic Mooresville PLLC (Mooresville, NC) and (Winston Salem, NC). Each 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 Depaul Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Depaul Nichols accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Depaul Nichols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Depaul Nichols was last updated on November 18, 2021. 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.