DR. SHAW WILSON TAYLOR DC
NPI 1619855210
Chiropractor in Thompsons Station, TN

Q: What is Shaw Taylor's NPI number?

The NPI number for Shaw Taylor is 1619855210. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Q: What is Shaw Taylor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shaw Taylor was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 22, 2025Accepts Medicare Assignment

100 SADDLE SPRINGS BLVD, THOMPSONS STATION, TN 37179(615) 830-4640(855) 615-2840 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Shaw Wilson Taylor Dc NPPES

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

DR. SHAW WILSON TAYLOR DC (NPI 1619855210) is an individual chiropractor in Thompsons Station, Tennessee, licensed in Tennessee (3983) and active in the NPI registry since August 2025. He is a graduate of Life Chiropractic College (2025).

NPPES Registry Identity

NPI1619855210

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. SHAW WILSON TAYLORCredential: DC

Location Address100 SADDLE SPRINGS BLVDThompsons Station, TN 37179-5328

Mailing Address100 Saddle Springs BlvdThompsons Station, TN 37179-5328 · (615) 830-4640

Phone(615) 830-4640

Fax(855) 615-2840

Sole ProprietorNo

Medical School CMSLife Chiropractic CollegeGraduated 2025

Enumeration DateAugust 22, 2025

Last NPPES UpdateFebruary 23, 2026

NPPES CertifiedFebruary 23, 2026

✔ NPI 1619855210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in TN · 3983

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.

100 SADDLE SPRINGS BLVD, Thompsons Station, TN 37179

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shaw Wilson Taylor Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072080761

PECOS Enrollment IDI20260430002005

Medicare Billing Reassignment

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

Performax Chiropractic

Same address

Chiropractor

100 SADDLE SPRINGS BLVD
Thompsons Station, TN 37179

Reassigned Medicare billing, Tennessee enrollment

NPI 1801746433 (615) 830-4640

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

Other Providers at the Same Location NPPES 2

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

DR. EVONNE NICOLE JAECKLE DC

Chiropractor

100 SADDLE SPRINGS BLVD
THOMPSONS STATION, TN 37179

Williamson County (615) 830-4640

PERFORMAX CHIROPRACTIC

Chiropractor

100 SADDLE SPRINGS BLVD
THOMPSONS STATION, TN 37179

Williamson County (615) 830-4640

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 Shaw Taylor's NPI number?

The NPI number for Shaw Taylor is 1619855210. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Where is Shaw Taylor located?

Shaw Taylor practices at 100 Saddle Springs Blvd, Thompsons Station, TN 37179. The listed phone number is (615) 830-4640.

What is Shaw Taylor's specialty?

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

Is Shaw Taylor enrolled in Medicare?

Yes. Shaw Taylor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shaw Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaw Taylor reassigns Medicare benefits to Performax Chiropractic (Thompsons Station, TN). 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 Shaw Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shaw Taylor was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.