Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316912058 Individual Practitioner Male Practitioner

Dr. Russell Shane Smith , DC

Chiropractor • Cleveland, TN

Professional Overview & Biography Verified Profile Summary

Dr. Russell Smith, DC is a registered healthcare professional specializing in Chiropractor in Cleveland, TN. Practice services are available at 2175 CHAMBLISS AVE NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2175 Chambliss Ave Nw
Suite D

Cleveland, TN 373113842

Telephone 4234721140
Fax 4233392242
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Cleveland, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.7 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
33 Specialists

Practicing in Cleveland, TN (1601 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License TN 595

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross
84739 (TN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Laura Godwin , APN

Nurse Practitioner - Adult Health

NPI 1114197522

Advanced Practice Nurse

Tina Johnson , FNP

Nurse Practitioner - Family

NPI 1619312998

Family Nurse Practitioner

NPI 1639327109

Doctor of Chiropractic

Jennifer Rose , FNP

Nurse Practitioner - Family

NPI 1689004483

Family Nurse Practitioner

Sheila Elmendorf , APRN-C

Nurse Practitioner

NPI 1851575989

APRNC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 02, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2009

Registered at 2175 CHAMBLISS AVE NW, SUITE D, CLEVELAND, TN 373113842 (Tel: 4234721140)

📍
Updated Business Mailing Address December 02, 2009

Registered at 2175 CHAMBLISS AVE NW, SUITE D, CLEVELAND, TN 373113842 (Tel: 4234721140)

👤
Provider Name / Credentials Updated December 02, 2009

Recorded as RUSSELL SMITH, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2009

Chiropractor (License #595 in TN)

🟢
Initial NPI Registration & Enumeration February 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316912058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2006
Last Update: December 02, 2009
Sole Proprietor: Yes

Mailing Address

2175 Chambliss Ave Nw, Suite D

Cleveland, TN 373113842

Phone: 4234721140

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.