CONCORD CHIROPRACTIC CLINIC
NPI 1417200809
Clinic/Center - Multi-Specialty in Knoxville, TN
About Concord Chiropractic Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONCORD CHIROPRACTIC CLINIC (NPI 1417200809) is a healthcare organization registered as a multi-specialty in Knoxville, Tennessee and active in the NPI registry since October 2012. The organization lists Michael Petty, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Concord Chiropractic Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Concord Chiropractic Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Michael T Petty Dc PLLC's NPI number?
The NPI number for Michael T Petty Dc PLLC is 1417200809. It was assigned to this organization in the NPPES registry on October 23, 2012. The provider is doing business as Concord Chiropractic Clinic.
Where is Michael T Petty Dc PLLC located?
Michael T Petty Dc PLLC is located at 10826 Kingston Pike, Knoxville, TN 37934. The listed phone number is (865) 675-5050.
What is Michael T Petty Dc PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Michael T Petty Dc PLLC enrolled in Medicare?
Yes. Michael T Petty Dc PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Michael T Petty Dc PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Michael T Petty Dc 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Michael T Petty Dc PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Michael T Petty Dc 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 Michael T Petty Dc PLLC was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Concord Chiropractic Clinic · NPI 1417200809
Multi-Specialty organization in Knoxville, Tennessee. Organization record, active in the CMS NPPES registry since October 23, 2012.
## Identity
- **NPI:** 1417200809 (Entity type: Organization)
- **Enumerated:** October 23, 2012
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Michael T Petty Dc Pllc
- **Organization subpart:** No
- **Authorized official:** Michael Petty, DIRECTOR
## Practice location
- **Address:** 10826 KINGSTON PIKE, Knoxville, TN 37934-3059
- **Phone:** (865) 675-5050 · **Fax:** (865) 671-1321
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2012
- **Other identifiers:** Medicare UPIN T74620 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1417200809) · Data from the CMS NPPES public registry.