SOUTHERN ILLINOIS SPINE & JOINT CENTER, LLC
NPI 1013098854
Chiropractor in Sparta, IL

Q: What is Southern Illinois Spine & Joint Center, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since October 18, 2006

202 W JACKSON ST, SUITE A, SPARTA, IL 62286(618) 443-2026 Get Directions Write a Review

NPPES record last updated: August 17, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Southern Illinois Spine & Joint Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN ILLINOIS SPINE & JOINT CENTER, LLC (NPI 1013098854) is a healthcare organization registered as a chiropractor in Sparta, Illinois and active in the NPI registry since October 2006. The organization lists Ryan Robert Reiss, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1013098854

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSOUTHERN ILLINOIS SPINE & JOINT CENTER, LLC

Location Address202 W JACKSON ST, SUITE ASparta, IL 62286-1676

Mailing Address202 W Jackson St, Suite ASparta, IL 62286-1676 · (618) 443-2026

Phone(618) 443-2026

Organization SubpartNo

Authorized OfficialRyan Robert ReissChiropractor · (618) 443-2026

Enumeration DateOctober 18, 2006

Last NPPES UpdateAugust 17, 2010

✔ NPI 1013098854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038-010604

Definition

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.

202 W JACKSON ST, Sparta, IL 62286

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Illinois Spine & Joint Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Illinois Spine & Joint Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ryan Reiss, DC

Chiropractic

NPI 1144324377

202 W JACKSON ST SUITE A
Sparta, IL 62286

(618) 443-2026

✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Illinois Spine & Joint Center, LLC's NPI number?

The NPI number for Southern Illinois Spine & Joint Center, LLC is 1013098854. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Southern Illinois Spine & Joint Center, LLC located?

Southern Illinois Spine & Joint Center, LLC is located at 202 W Jackson St Suite A, Sparta, IL 62286. The listed phone number is (618) 443-2026.

What is Southern Illinois Spine & Joint Center, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Southern Illinois Spine & Joint Center, LLC enrolled in Medicare?

Yes. Southern Illinois Spine & Joint Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Illinois Spine & Joint Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Southern Illinois Spine & Joint Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Illinois Spine & Joint Center, LLC was last updated on August 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.