MT. JULIET SPINE AND PAIN MANAGEMENT, PLLC
MT. JULIET SPINE AND PAIN MANAGEMENT, PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1124228416, based in Mount Juliet, TN. The organization lists 3 taxonomy classifications, with General Practice Physician recorded as primary.
Getting there
The practice address on file is 105 INDUSTRIAL DR STE 7, Mount Juliet, TN 37122. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD0000017958 | TN | General Practice Physician primary |
| APN0000012953 | TN | Acute Care Nurse Practitioner |
| 2193 | TN | Chiropractor |
This provider holds licence MD0000017958 issued in TN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What General Practice covers
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | MD0000017958 | TN | primary |
| 363LA2100X | Acute Care Nurse Practitioner Acute Care | APN0000012953 | TN | |
| 111N00000X | Chiropractor | 2193 | TN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1124228416 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 24, 2007 |
| Last updated | Mar 8, 2010 |
| Status | Active |
| Practice address |
105 INDUSTRIAL DR STE 7 Mount Juliet, TN 37122 (615) 758-7575 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 2 | 4 | 2 | 2 | 8 | 4 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 4 | 4 | 4 | 2 | 7 | 4 | 2 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.