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Deactivated NPI 1720163215 Deactivated / Inactive NPI Male Practitioner

Dr. Lonnie Lee Jackson , DC

Chiropractor • Johnson City, TN

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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, Dr. Lonnie Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 25, 2006
NPI Deactivation Date March 13, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Lonnie Jackson, DC was a registered Chiropractor practicing in Johnson City, TN. Throughout an active medical career spanning 12 years, Dr. Jackson provided care at the practice location at 2 WORTH CIR until profile deactivation on 2018-03-13.

Practice Location & Contact Primary Location

Practice Address

2 Worth Cir
Suite 1

Johnson City, TN 376014304

Telephone 4238548700
Fax 4238548776
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Johnson City, TN

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

Practicing in Johnson City, 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 DC0000000123

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1861188104

Doctor of Chiropractic

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 13, 2018

Record deactivated on March 13, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2 WORTH CIR, SUITE 1, JOHNSON CITY, TN 376014304 (Tel: 4238548700)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 3519, JOHNSON CITY, TN 376023519 (Tel: 4238548700)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LONNIE JACKSON, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #DC0000000123 in TN)

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Initial NPI Registration & Enumeration October 25, 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: 1720163215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: July 08, 2007
Deactivation Date: March 13, 2018

Mailing Address

Po Box 3519

Johnson City, TN 376023519

Phone: 4238548700

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.