SOUTHSIDE FAMILY CHIROPRACTIC, LLC
NPI 1639741986
Clinic/Center in Southside, AR

Active since July 15, 2021
1997 BATESVILLE BLVD, SOUTHSIDE, AR 72501(870) 613-1464 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2021, Jul 21, 2021, Jul 15, 2021 (3 updates tracked since 2021).

About Southside Family Chiropractic, Llc NPPES

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

SOUTHSIDE FAMILY CHIROPRACTIC, LLC (NPI 1639741986) is a healthcare organization registered as a clinic/center in Southside, Arkansas and active in the NPI registry since July 2021. The organization lists Blake Taylor, Owner/practitioner, as its authorized official.

NPPES Registry Identity

NPI1639741986
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHSIDE FAMILY CHIROPRACTIC, LLC
Location Address1997 BATESVILLE BLVDSouthside, AR 72501-7896
Mailing Address1997 Batesville BlvdSouthside, AR 72501-7896 · (870) 613-1464
Organization SubpartNo
Authorized OfficialBlake TaylorOwner/practitioner · (870) 613-1464
Enumeration DateJuly 15, 2021
Last NPPES UpdateOctober 15, 20213 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
✔ NPI 1639741986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1997 BATESVILLE BLVD, Southside, AR 72501

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)

Southside Family Chiropractic, Llc 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 Southside Family Chiropractic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1821689605
1997 BATESVILLE BLVD
Southside, AR 72501
(870) 613-1464
✔ Accepts MedicareSame address

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 Southside Family Chiropractic, LLC's NPI number?

The NPI number for Southside Family Chiropractic, LLC is 1639741986. It was assigned to this organization in the NPPES registry on July 15, 2021.

Where is Southside Family Chiropractic, LLC located?

Southside Family Chiropractic, LLC is located at 1997 Batesville Blvd, Southside, AR 72501. The listed phone number is (870) 613-1464.

What is Southside Family Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Southside Family Chiropractic, LLC enrolled in Medicare?

Yes. Southside Family Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southside Family Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Southside Family Chiropractic, LLC. 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.

What insurance does Southside Family Chiropractic, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Southside Family Chiropractic, LLC 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 Southside Family Chiropractic, LLC was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.