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DR. TYLER LANE QUALLS D.C.
NPI 1154565794
Chiropractor in Southaven, MS

Active since April 27, 2009
7651 TCHULAHOMA RD, SOUTHAVEN, MS 38671(662) 349-0980(662) 349-0990 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 19, 2025, Jun 30, 2016 (2 updates tracked since 2016).

About Dr. Tyler Lane Qualls D.c. NPPES

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

DR. TYLER LANE QUALLS D.C. (NPI 1154565794) is an individual chiropractor in Southaven, Mississippi, licensed in Mississippi (1147) and active in the NPI registry since April 2009. He maintains a secondary practice location in Hernando and is a graduate of Palmer College Chiropractic - West Sunnyvale (2009).

NPPES Registry Identity

NPI1154565794
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TYLER LANE QUALLSCredential: D.C.
Location Address7651 TCHULAHOMA RDSouthaven, MS 38671-9227
Mailing Address7651 Tchulahoma RdSouthaven, MS 38671-9227 · (662) 349-0980 · Fax (662) 349-0990
Phone(662) 349-0980
Fax(662) 349-0990
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2009
Enumeration DateApril 27, 2009
Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1154565794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 1147
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.
7651 TCHULAHOMA RD, Southaven, MS 38671
Open in Google Maps ↗

Secondary Practice Location 1

Location 11973 Oak Tree CvHernando, MS 38632-1536 · Phone (662) 349-0980

Other Identifiers 1

Other302I355410MS · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyler Lane Qualls D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799961942
PECOS Enrollment IDI20110524000174

Medicare Billing Reassignment

Medicare enrollment records show Tyler Qualls reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mississippi Upper Cervical Clinic, Inc
Same address
Chiropractor
7651 TCHULAHOMA RD
Southaven, MS 38671
  • Reassigned Medicare billing, Mississippi enrollment
  • 2 clinicians in this Medicare group
NPI 1346318797 (662) 349-0980

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
331 services73 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
216 services48 patients
Chiropractic manipulative treatment, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
33 services13 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TREVOR LAMAR QUALLS D.C.
Chiropractor
7651 TCHULAHOMA RD
SOUTHAVEN, MS 38671
Desoto County (662) 349-0980
MEAGAN DUVAL CHASTANT-QUALLS FNP
Family Medicine
7651 TCHULAHOMA RD
SOUTHAVEN, MS 38671
Desoto County (662) 349-0980
JENNAH SUZUKO AVERY-MORIN
Nurse Practitioner (Family)
7651 TCHULAHOMA RD
SOUTHAVEN, MS 38671
Desoto County (662) 349-0980
MISSISSIPPI UPPER CERVICAL CLINIC, INC
Chiropractor
7651 TCHULAHOMA RD
SOUTHAVEN, MS 38671
Desoto County (662) 349-0980
MIDSOUTH INTEGRATIVE MEDICAL, INC
Clinic/Center (Primary Care)
7651 TCHULAHOMA RD
SOUTHAVEN, MS 38671
Desoto County (662) 349-0980

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 Tyler Qualls's NPI number?

The NPI number for Tyler Qualls is 1154565794. It was assigned to this individual provider in the NPPES registry on April 27, 2009.

Where is Tyler Qualls located?

Tyler Qualls practices at 7651 Tchulahoma Rd, Southaven, MS 38671. The listed phone number is (662) 349-0980.

What is Tyler Qualls's specialty?

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

Is Tyler Qualls enrolled in Medicare?

Yes. Tyler Qualls is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tyler Qualls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Qualls reassigns Medicare benefits to Mississippi Upper Cervical Clinic, Inc (Southaven, MS). The 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 Tyler Qualls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Qualls accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Tyler Qualls 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 Tyler Qualls was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.