GAUDRY CHIROPRACTIC PLLC
NPI 1407733710
Chiropractor in Maryville, TN
About Gaudry Chiropractic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAUDRY CHIROPRACTIC PLLC (NPI 1407733710) is a healthcare organization registered as a chiropractor in Maryville, Tennessee and active in the NPI registry since August 2025. The organization lists Tyler Gaudry, 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)
Gaudry 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 Gaudry 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 Gaudry Chiropractic PLLC's NPI number?
The NPI number for Gaudry Chiropractic PLLC is 1407733710. It was assigned to this organization in the NPPES registry on August 19, 2025.
Where is Gaudry Chiropractic PLLC located?
Gaudry Chiropractic PLLC is located at 424 Home Ave, Maryville, TN 37801. The listed phone number is (802) 353-5980.
What is Gaudry Chiropractic PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Gaudry Chiropractic PLLC enrolled in Medicare?
Yes. Gaudry Chiropractic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gaudry Chiropractic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Gaudry 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 Gaudry Chiropractic PLLC was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Gaudry Chiropractic Pllc · NPI 1407733710
Chiropractor organization in Maryville, Tennessee. Organization record, active in the CMS NPPES registry since August 19, 2025.
## Identity
- **NPI:** 1407733710 (Entity type: Organization)
- **Enumerated:** August 19, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Tyler Gaudry, OWNER
## Practice location
- **Address:** 424 HOME AVE, Maryville, TN 37801-3915
- **Phone:** (802) 353-5980
## 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:** August 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407733710) · Data from the CMS NPPES public registry.