TUCKER CHIROPRACTIC CENTER PLLC
NPI 1104848001
Chiropractor in Gentry, AR

Active since July 23, 2006CLIA 04D2157417 · Waiver
1179 S GENTRY BLVD, GENTRY, AR 72734(479) 736-8900(479) 736-5133 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tucker Chiropractic Center Pllc NPPES

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

TUCKER CHIROPRACTIC CENTER PLLC (NPI 1104848001) is a healthcare organization registered as a chiropractor in Gentry, Arkansas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 5, 2026 and lists Jeffrey A Tucker, Owner, as its authorized official.

NPPES Registry Identity

NPI1104848001
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTUCKER CHIROPRACTIC CENTER PLLC
Location Address1179 S GENTRY BLVDGentry, AR 72734-9624
Mailing AddressPo Box 936Gentry, AR 72734-0936 · (479) 736-8900 · Fax (479) 736-5133
Fax(479) 736-5133
Organization SubpartNo
Authorized OfficialJeffrey A TuckerOwner · (479) 736-8900
Enumeration DateJuly 23, 2006
Last NPPES UpdateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1104848001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1179 S GENTRY BLVD, Gentry, AR 72734

Other Identifiers 1

Medicaid181145718AR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tucker Chiropractic Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20100729000879Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tucker Chiropractic Center PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1679357081
1179 S GENTRY BLVD
Gentry, AR 72734
(479) 736-8900
✔ Accepts MedicareSame address
Chiropractic
NPI 1770582710
1179 S GENTRY BLVD
Gentry, AR 72734
(479) 736-8900
✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2157417

Tucker Chiropractic Center, PLLC · Gentry, AR
Active · expires Nov 5, 2026
CLIA Number04D2157417
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorJeffrey A. Tucker
Laboratory Phone(479) 736-8900
Laboratory LocationTucker Chiropractic Center, PLLC1179 S Gentry Blvd, Gentry, AR 72734
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Tucker Chiropractic Center PLLC's NPI number?

The NPI number for Tucker Chiropractic Center PLLC is 1104848001. It was assigned to this organization in the NPPES registry on July 23, 2006.

Where is Tucker Chiropractic Center PLLC located?

Tucker Chiropractic Center PLLC is located at 1179 S Gentry Blvd, Gentry, AR 72734. The listed phone number is (479) 736-8900.

What is Tucker Chiropractic Center PLLC's specialty?

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

Is Tucker Chiropractic Center PLLC enrolled in Medicare?

Yes. Tucker Chiropractic Center PLLC is registered in the Medicare PECOS enrollment system.

When is Tucker Chiropractic Center PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Tucker Chiropractic Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Tucker Chiropractic Center PLLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tucker Chiropractic Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2157417) is associated with this NPI, valid through November 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tucker Chiropractic Center PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Tucker Chiropractic Center PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tucker Chiropractic Center PLLC was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.