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DR. PRESTON S. DOUGLAS, DC
NPI 1932865409
Chiropractor in Kingsport, TN

Active since November 09, 2021
101 PROFESSIONAL PARK PVT DR, KINGSPORT, TN 37663(423) 239-9122(423) 239-7991 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2024, Dec 17, 2021, Nov 9, 2021 (3 updates tracked since 2021).

About Dr. Preston S. Douglas, Dc NPPES

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

DR. PRESTON S. DOUGLAS, DC (NPI 1932865409) is a healthcare organization registered as a chiropractor in Kingsport, Tennessee and active in the NPI registry since November 2021. The organization lists Preston S Douglas, Owner/ceo/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1932865409
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameELEVATE SPORT AND SPINE, LLC
Location Address101 PROFESSIONAL PARK PVT DRKingsport, TN 37663-2288
Mailing Address4012 Fort Henry DrKingsport, TN 37663-2028 · (423) 502-3776 · Fax (423) 239-7991
Phone(423) 239-9122
Fax(423) 239-7991
Organization SubpartNo
Authorized OfficialPreston S DouglasOwner/ceo/chiropractor · (423) 239-9122
Enumeration DateNovember 9, 2021
Last NPPES UpdateJune 5, 20243 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1932865409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
101 PROFESSIONAL PARK PVT DR, Kingsport, TN 37663
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Other Names 1

Doing Business AsDr. Preston S. Douglas, Dc

Other Identifiers 1

MedicaidQ070613TN

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Preston S. Douglas, Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20220309000562Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Preston S. Douglas, Dc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Preston Douglas, DC
Chiropractic
NPI 1922696780
101 PROFESSIONAL PARK PVT DR
Kingsport, TN 37663
(423) 239-9122
Same address

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 Elevate Sport And Spine, LLC's NPI number?

The NPI number for Elevate Sport And Spine, LLC is 1932865409. It was assigned to this organization in the NPPES registry on November 9, 2021. The provider is doing business as Dr. Preston S. Douglas, Dc.

Where is Elevate Sport And Spine, LLC located?

Elevate Sport And Spine, LLC is located at 101 Professional Park Pvt Dr, Kingsport, TN 37663. The listed phone number is (423) 239-9122.

What is Elevate Sport And Spine, LLC's specialty?

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

Is Elevate Sport And Spine, LLC enrolled in Medicare?

Yes. Elevate Sport And Spine, LLC is registered in the Medicare PECOS enrollment system.

When is Elevate Sport And Spine, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Elevate Sport And Spine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Elevate Sport And Spine, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elevate Sport And Spine, LLC was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.