CHAVIS MCDERMOTT DC
NPI 1922967603
Chiropractor in Portland, TN

Active since January 19, 2026Accepts Medicare Assignment
611 W MARKET ST, PORTLAND, TN 37148(615) 745-4044 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chavis Mcdermott Dc NPPES

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

CHAVIS MCDERMOTT DC (NPI 1922967603) is an individual chiropractor in Portland, Tennessee, licensed in Tennessee (4032) and active in the NPI registry since January 2026. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1922967603
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameCHAVIS MCDERMOTTCredential: DC
Location Address611 W MARKET STPortland, TN 37148-2510
Mailing Address354 Old Gallatin RdScottsville, KY 42164-8666
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 19, 2026
NPPES CertifiedJanuary 19, 2026
✔ NPI 1922967603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TN · 4032
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.
611 W MARKET ST, Portland, TN 37148

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chavis Mcdermott Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799263786
PECOS Enrollment IDI20260130003597

Medicare Billing Reassignment

Medicare enrollment records show Chavis Mcdermott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
305 S BROADWAY ST
Portland, TN 37148
  • Reassigned Medicare billing, Tennessee enrollment
  • 7 clinicians in this Medicare group

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 Chavis Mcdermott's NPI number?

The NPI number for Chavis Mcdermott is 1922967603. It was assigned to this individual provider in the NPPES registry on January 19, 2026.

Where is Chavis Mcdermott located?

Chavis Mcdermott practices at 611 W Market St, Portland, TN 37148. The listed phone number is (615) 745-4044.

What is Chavis Mcdermott's specialty?

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

Is Chavis Mcdermott enrolled in Medicare?

Yes. Chavis Mcdermott is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Chavis Mcdermott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chavis Mcdermott reassigns Medicare benefits to Spine Stop Portland, PLLC (Portland, TN). The 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 Chavis Mcdermott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chavis Mcdermott accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Chavis Mcdermott 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 Chavis Mcdermott was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.