DR. KEITH LEE TYRE D.C.
NPI 1750574661
Chiropractor in Yulee, FL
About Dr. Keith Lee Tyre D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEITH LEE TYRE D.C. (NPI 1750574661) is an individual chiropractor in Yulee, Florida, licensed in Florida (CH11344) and active in the NPI registry since August 2007.
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 (PECOS)
Dr. Keith Lee Tyre D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Keith Tyre reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Yulee, FL 32097
- Reassigned Medicare billing, Florida enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Keith Tyre's NPI number?
The NPI number for Keith Tyre is 1750574661. It was assigned to this individual provider in the NPPES registry on August 23, 2007.
Where is Keith Tyre located?
Keith Tyre practices at 87001 Professional Way, Yulee, FL 32097. The listed phone number is (706) 429-3327.
What is Keith Tyre's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Keith Tyre enrolled in Medicare?
Yes. Keith Tyre is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Keith Tyre's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Tyre reassigns Medicare benefits to Tyre Chiropractic LLC (Yulee, FL). 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 Keith Tyre'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 Keith Tyre was last updated on June 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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. Keith Lee Tyre, D.C. · NPI 1750574661
Chiropractor provider in Yulee, Florida. Individual provider, active in the CMS NPPES registry since August 23, 2007.
## Identity
- **NPI:** 1750574661 (Entity type: Individual)
- **Enumerated:** August 23, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH11344 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 87001 PROFESSIONAL WAY, Yulee, FL 32097-3400
- **Phone:** (706) 429-3327
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Tyre Chiropractic LLC (NPI 1811377344, Yulee, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1750574661) · Data from the CMS NPPES public registry.