TRI-STATE CLINIC OF CHIROPRACTIC, PC
NPI 1073941191
Chiropractor in Fayetteville, TN
About Tri-state Clinic Of Chiropractic, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRI-STATE CLINIC OF CHIROPRACTIC, PC (NPI 1073941191) is a healthcare organization registered as a chiropractor in Fayetteville, Tennessee and active in the NPI registry since October 2013. The organization lists Nicole Mathey, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Tri-state Clinic Of Chiropractic, Pc 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 Tri-State Clinic Of Chiropractic, PC, 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 Tri-State Clinic Of Chiropractic, PC's NPI number?
The NPI number for Tri-State Clinic Of Chiropractic, PC is 1073941191. It was assigned to this organization in the NPPES registry on October 29, 2013.
Where is Tri-State Clinic Of Chiropractic, PC located?
Tri-State Clinic Of Chiropractic, PC is located at 2686 Huntsville Hwy, Fayetteville, TN 37334. The listed phone number is (931) 993-1922.
What is Tri-State Clinic Of Chiropractic, PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Tri-State Clinic Of Chiropractic, PC enrolled in Medicare?
Yes. Tri-State Clinic Of Chiropractic, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tri-State Clinic Of Chiropractic, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Tri-State Clinic Of Chiropractic, PC. 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 Tri-State Clinic Of Chiropractic, PC was last updated on October 29, 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.
# Tri-State Clinic Of Chiropractic, Pc · NPI 1073941191
Chiropractor organization in Fayetteville, Tennessee. Organization record, active in the CMS NPPES registry since October 29, 2013.
## Identity
- **NPI:** 1073941191 (Entity type: Organization)
- **Enumerated:** October 29, 2013
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Nicole Mathey, OWNER
## Practice location
- **Address:** 2686 HUNTSVILLE HWY, Fayetteville, TN 37334-7647
- **Phone:** (931) 993-1922
## 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:** October 29, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1073941191) · Data from the CMS NPPES public registry.