DR. CHRISTIAN TYLER JACKSON
NPI 1720614837
Chiropractor in Indian Trail, NC
About Dr. Christian Tyler Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHRISTIAN TYLER JACKSON (NPI 1720614837) is an individual chiropractor in Indian Trail, North Carolina, licensed in North Carolina (5092) and active in the NPI registry since March 2020. He is a graduate of Sherman College Of Straight Chiropractic (2019).
NPPES Registry Identity
Specialties & Licenses
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. Christian Tyler Jackson 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.
Medicare Billing Reassignment
Medicare enrollment records show Christian Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indian Trail, NC 28079
- Reassigned Medicare billing, North Carolina enrollment
- 2 clinicians in this Medicare group
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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIAN TRAIL, NC 28079
INDIAN TRAIL, NC 28079
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 Christian Jackson's NPI number?
The NPI number for Christian Jackson is 1720614837. It was assigned to this individual provider in the NPPES registry on March 20, 2020.
Where is Christian Jackson located?
Christian Jackson practices at 120 Unionville Indian Trail Rd W Ste C102, Indian Trail, NC 28079. The listed phone number is (704) 821-5000.
What is Christian Jackson's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Christian Jackson enrolled in Medicare?
Yes. Christian Jackson 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 Christian Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christian Jackson reassigns Medicare benefits to Apex Chiropractic And Wellness, PLLC (Indian Trail, NC). 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 Christian Jackson'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 Christian Jackson was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Christian Tyler Jackson · NPI 1720614837
Chiropractor provider in Indian Trail, North Carolina. Individual provider, active in the CMS NPPES registry since March 20, 2020.
## Identity
- **NPI:** 1720614837 (Entity type: Individual)
- **Enumerated:** March 20, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5092 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 120 UNIONVILLE INDIAN TRAIL RD W STE C102, Indian Trail, NC 28079-5670
- **Phone:** (704) 821-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Apex Chiropractic And Wellness, PLLC (NPI 1952937252, Indian Trail, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Sherman College Of Straight Chiropractic, class of 2019
## Record status
- **NPPES last updated:** March 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1720614837) · Data from the CMS NPPES public registry.