Melvyn Lewis Jackson
Chiropractor • Johnson City, TN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Melvyn Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Melvyn Jackson was a registered Chiropractor practicing in Johnson City, TN. Throughout an active medical career spanning 14 years, Melvyn Jackson provided care at the practice location at 809 S. ROAN STREET until profile deactivation on 2020-11-06.
Practice Location & Contact Primary Location
809 S. Roan Street
Suite #3
Johnson City, TN 37601
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Johnson City, TN
Practicing in Johnson City, TN (1601 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
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.
Career & Practice History Timeline
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Record deactivated on November 06, 2020
NPI status registered as active in NPPES database
Registered at 809 S. ROAN STREET, SUITE #3, JOHNSON CITY, TN 37601 (Tel: 4239297444)
Registered at 809 S. ROAN STREET, SUITE #3, JOHNSON CITY, TN 37601 (Tel: 4239297444)
Recorded as MELVYN JACKSON
Chiropractor (License #DC0000000296 in TN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
809 S. Roan Street, Suite #3
Johnson City, TN 37601
Phone: 4239297444
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