Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JERRY RAY REAVIS DC
NPI 1649268905
Chiropractor in Winston Salem, NC

Active since October 11, 2005
3702 REYNOLDA RD, WINSTON SALEM, NC 27106(336) 925-1593(336) 924-4333 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Ray Reavis Dc NPPES

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

DR. JERRY RAY REAVIS DC (NPI 1649268905) is an individual chiropractor in Winston Salem, North Carolina, licensed in North Carolina (641) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1649268905
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JERRY RAY REAVISCredential: DC
Location Address3702 REYNOLDA RDWinston Salem, NC 27106-2232
Mailing Address3702 Reynolda RdWinston Salem, NC 27106-2232 · (336) 925-1593 · Fax (336) 924-4333
Fax(336) 924-4333
Sole ProprietorNo
Enumeration DateOctober 11, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1649268905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NC · 641
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.
3702 REYNOLDA RD, Winston Salem, NC 27106

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 Jerry Reavis's NPI number?

The NPI number for Jerry Reavis is 1649268905. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Jerry Reavis located?

Jerry Reavis practices at 3702 Reynolda Rd, Winston Salem, NC 27106. The listed phone number is (336) 925-1593.

What is Jerry Reavis's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerry Reavis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.