# SPIRIT MEDICAL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225867971
- **Authorized official:** NICHOLAS CIRCOLONE DIANM (OWNER/PROVIDER)
- **Authorized official phone:** (423) 855-7376

## Contact information

- **Practice address:** 7446 SHALLOWFORD RD STE 108, CHATTANOOGA, TN 37421-2352
- **Practice address phone:** (423) 855-7376
- **Mailing address:** 7446 SHALLOWFORD RD STE 108, CHATTANOOGA, TN 37421-2352
- **Mailing address phone:** (423) 855-7376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NX0800X | Orthopedic Chiropractor | — | NULL | — |
| 111NX0800X | Orthopedic Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2024
- **Last updated:** 08/02/2024