SOUTHERN WELLNESS CHIROPRACTIC PLLC
NPI 1205797933
Chiropractor in Magnolia, TX
About Southern Wellness Chiropractic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN WELLNESS CHIROPRACTIC PLLC (NPI 1205797933) is a healthcare organization registered as a chiropractor in Magnolia, Texas and active in the NPI registry since November 2025. The organization lists John Tysdal, Owner/provider/ao, 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)
Southern Wellness Chiropractic Pllc 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 Southern Wellness Chiropractic PLLC, 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 Southern Wellness Chiropractic PLLC's NPI number?
The NPI number for Southern Wellness Chiropractic PLLC is 1205797933. It was assigned to this organization in the NPPES registry on November 21, 2025.
Where is Southern Wellness Chiropractic PLLC located?
Southern Wellness Chiropractic PLLC is located at 18015 Fm 1488 Rd Ste D, Magnolia, TX 77354. The listed phone number is (346) 468-1300.
What is Southern Wellness Chiropractic PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Southern Wellness Chiropractic PLLC enrolled in Medicare?
Yes. Southern Wellness Chiropractic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Wellness Chiropractic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Southern Wellness Chiropractic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southern Wellness Chiropractic PLLC was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Southern Wellness Chiropractic Pllc · NPI 1205797933
Chiropractor organization in Magnolia, Texas. Organization record, active in the CMS NPPES registry since November 21, 2025.
## Identity
- **NPI:** 1205797933 (Entity type: Organization)
- **Enumerated:** November 21, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** John Tysdal, OWNER/PROVIDER/AO
## Practice location
- **Address:** 18015 FM 1488 RD STE D, Magnolia, TX 77354-8520
- **Phone:** (346) 468-1300
## 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:** November 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205797933) · Data from the CMS NPPES public registry.