NATURAL STATE CLINIC OF CHIROPRACTIC
NPI 1669658647
Chiropractor in Conway, AR
About Natural State Clinic Of Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATURAL STATE CLINIC OF CHIROPRACTIC (NPI 1669658647) is a healthcare organization registered as a chiropractor in Conway, Arkansas and active in the NPI registry since January 2008. The organization lists Jim Weatherley, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Natural State Clinic Of Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Natural State Clinic Of Chiropractic, 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 Dr. Jim Weatherley, D.C., P.A.'s NPI number?
The NPI number for Dr. Jim Weatherley, D.C., P.A. is 1669658647. It was assigned to this organization in the NPPES registry on January 21, 2008. The provider is doing business as Natural State Clinic Of Chiropractic.
Where is Dr. Jim Weatherley, D.C., P.A. located?
Dr. Jim Weatherley, D.C., P.A. is located at 2665 Donaghey Ave Suite 104, Conway, AR 72032. The listed phone number is (501) 327-3355.
What is Dr. Jim Weatherley, D.C., P.A.'s specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Dr. Jim Weatherley, D.C., P.A. enrolled in Medicare?
Yes. Dr. Jim Weatherley, D.C., P.A. is registered in the Medicare PECOS enrollment system.
When is Dr. Jim Weatherley, D.C., P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dr. Jim Weatherley, D.C., P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Dr. Jim Weatherley, D.C., P.A.. 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 Dr. Jim Weatherley, D.C., P.A. was last updated on January 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Natural State Clinic Of Chiropractic · NPI 1669658647
Chiropractor organization in Conway, Arkansas. Organization record, active in the CMS NPPES registry since January 21, 2008.
## Identity
- **NPI:** 1669658647 (Entity type: Organization)
- **Enumerated:** January 21, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Legal business name:** Dr. Jim Weatherley, D.c., P.a.
- **Organization subpart:** No
- **Authorized official:** Jim Weatherley, PRESIDENT
## Practice location
- **Address:** 2665 DONAGHEY AVE, SUITE 104, Conway, AR 72032-2317
- **Phone:** (501) 327-3355 · **Fax:** (501) 327-3360
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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:** January 21, 2008
- **Other identifiers:** Medicare PIN 5A433 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1669658647) · Data from the CMS NPPES public registry.