GOLD MEDAL GROUP, LLC
NPI 1114513652
Chiropractor in Green Bay, WI

Q: What is Gold Medal Group, LLC's NPI number?

The NPI number for Gold Medal Group, LLC is 1114513652. It was assigned to this organization in the NPPES registry on December 18, 2020. The provider is doing business as Midwest Pain Solutions.

Q: What is Gold Medal Group, LLC's specialty?

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

Active since December 18, 2020

827 CORMIER RD, GREEN BAY, WI 54304(920) 569-2350 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Gold Medal Group, Llc NPPES

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

GOLD MEDAL GROUP, LLC (NPI 1114513652), doing business as Midwest Pain Solutions, is a healthcare organization registered as a chiropractor in Green Bay, Wisconsin and active in the NPI registry since December 2020. The organization lists Jackson Draeger, Owner, as its authorized official.

NPPES Registry Identity

NPI1114513652

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameGOLD MEDAL GROUP, LLC

Location Address827 CORMIER RDGreen Bay, WI 54304-4706

Mailing Address827 Cormier RdGreen Bay, WI 54304-4706 · (920) 569-2350

Phone(920) 569-2350

Organization SubpartNo

Authorized OfficialJackson DraegerOwner · (920) 569-2350

Enumeration DateDecember 18, 2020

NPPES CertifiedDecember 18, 2020

✔ NPI 1114513652 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.

827 CORMIER RD, Green Bay, WI 54304

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Other Names 1

Doing Business AsMidwest Pain Solutions

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)

Gold Medal Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gold Medal Group, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jackson Draeger, DC

Chiropractic

NPI 1073012290

827 CORMIER RD
Green Bay, WI 54304

(920) 569-2350

Same address

Curt Draeger, D.C.

Chiropractic

NPI 1134174279

2327 NEVA RD
Antigo, WI 54409

(715) 623-2123

71 mi

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 Gold Medal Group, LLC's NPI number?

The NPI number for Gold Medal Group, LLC is 1114513652. It was assigned to this organization in the NPPES registry on December 18, 2020. The provider is doing business as Midwest Pain Solutions.

Where is Gold Medal Group, LLC located?

Gold Medal Group, LLC is located at 827 Cormier Rd, Green Bay, WI 54304. The listed phone number is (920) 569-2350.

What is Gold Medal Group, LLC's specialty?

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

Is Gold Medal Group, LLC enrolled in Medicare?

Yes. Gold Medal Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gold Medal Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Gold Medal Group, 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gold Medal Group, LLC was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.