SOUTHEAST SPINE & SPORTS MEDICINE
NPI 1821482589
Chiropractor in Georgetown, TN

Q: What is Southeast Spine & Sports Medicine's NPI number?

The NPI number for Southeast Spine & Sports Medicine is 1821482589. It was assigned to this organization in the NPPES registry on March 20, 2015.

Q: What is Southeast Spine & Sports Medicine's specialty?

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

Active since March 20, 2015

1399 NO PONE VALLEY RD, GEORGETOWN, TN 37336(386) 366-2153 Get Directions Write a Review

NPPES record last updated: September 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southeast Spine & Sports Medicine NPPES

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

SOUTHEAST SPINE & SPORTS MEDICINE (NPI 1821482589) is a healthcare organization registered as a chiropractor in Georgetown, Tennessee and active in the NPI registry since March 2015. The organization lists Trevor Thompson Shaw, Owner / Doctor, as its authorized official.

NPPES Registry Identity

NPI1821482589

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSOUTHEAST SPINE & SPORTS MEDICINE

Location Address1399 NO PONE VALLEY RDGeorgetown, TN 37336-4846

Mailing Address1399 No Pone Valley RdGeorgetown, TN 37336-4846

Phone(386) 366-2153

Organization SubpartNo

Authorized OfficialTrevor Thompson ShawOwner / Doctor · (386) 366-2153

Enumeration DateMarch 20, 2015

Last NPPES UpdateSeptember 18, 2015

✔ NPI 1821482589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in TN · 2778

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.

1399 NO PONE VALLEY RD, Georgetown, TN 37336

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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. TREVOR THOMPSON SHAW

Chiropractor

1399 NO PONE VALLEY RD
GEORGETOWN, TN 37336

Meigs County (386) 366-2153

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 Southeast Spine & Sports Medicine's NPI number?

The NPI number for Southeast Spine & Sports Medicine is 1821482589. It was assigned to this organization in the NPPES registry on March 20, 2015.

Where is Southeast Spine & Sports Medicine located?

Southeast Spine & Sports Medicine is located at 1399 No Pone Valley Rd, Georgetown, TN 37336. The listed phone number is (386) 366-2153.

What is Southeast Spine & Sports Medicine'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 Southeast Spine & Sports Medicine was last updated on September 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.