SOUTHSIDE FAMILY CHIROPRACTIC
NPI 1053542134
Chiropractor in Paducah, KY
About Southside Family Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHSIDE FAMILY CHIROPRACTIC (NPI 1053542134) is a healthcare organization registered as a chiropractor in Paducah, Kentucky and active in the NPI registry since August 2009. The organization lists Travis W Kahre, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southside Family Chiropractic 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 Southside Family Chiropractic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Southside Family Chiropractic's NPI number?
The NPI number for Southside Family Chiropractic is 1053542134. It was assigned to this organization in the NPPES registry on August 6, 2009.
Where is Southside Family Chiropractic located?
Southside Family Chiropractic is located at 3333 Irvin Cobb Dr Suite 104, Paducah, KY 42003. The listed phone number is (270) 442-2211.
What is Southside Family Chiropractic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Southside Family Chiropractic enrolled in Medicare?
Yes. Southside Family Chiropractic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southside Family Chiropractic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Southside Family Chiropractic. 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 Southside Family Chiropractic was last updated on September 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Southside Family Chiropractic · NPI 1053542134
Chiropractor organization in Paducah, Kentucky. Organization record, active in the CMS NPPES registry since August 6, 2009.
## Identity
- **NPI:** 1053542134 (Entity type: Organization)
- **Enumerated:** August 6, 2009
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Travis Kahre, OWNER
## Practice location
- **Address:** 3333 IRVIN COBB DR, SUITE 104, Paducah, KY 42003-0526
- **Phone:** (270) 442-2211 · **Fax:** (270) 933-1054
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2013
- **Other identifiers:** Medicare UPIN V00554; Medicare PIN 01123
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Source: [NPI Profile](https://npiprofile.com/npi/1053542134) · Data from the CMS NPPES public registry.