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SPINE AND SPORT FAMILY CHIROPRACTIC
NPI 1780089789
Chiropractor in Tyler, TX

Active since November 03, 2014
3316 WOODS BLVD, TYLER, TX 75707(903) 787-5925(903) 787-5926 Get Directions Write a Review

NPPES record last updated: March 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Spine And Sport Family Chiropractic NPPES

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

SPINE AND SPORT FAMILY CHIROPRACTIC (NPI 1780089789) is a healthcare organization registered as a chiropractor in Tyler, Texas and active in the NPI registry since November 2014. The organization lists James Gardner, President/secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1780089789
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGARDNER CHIROPRACTIC, PA
Location Address3316 WOODS BLVDTyler, TX 75707-1656
Mailing Address3316 Woods BlvdTyler, TX 75707-1656 · (903) 787-5925 · Fax (903) 787-5926
Phone(903) 787-5925
Fax(903) 787-5926
Organization SubpartNo
Authorized OfficialJames GardnerPresident/secretary/treasurer · (903) 787-5925
Enumeration DateNovember 3, 2014
Last NPPES UpdateMarch 12, 2018
✔ NPI 1780089789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 12680
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.
3316 WOODS BLVD, Tyler, TX 75707
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Other Names 1

Doing Business AsSpine And Sport Family Chiropractic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine And Sport Family Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Spine And Sport Family Chiropractic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Patricia Childers, D.C.
Chiropractic
NPI 1952792095
3316 WOODS BLVD
Tyler, TX 75707
(903) 787-5925
✔ PECOS✔ Accepts MedicareSame address
James Gardner, D.C.
Chiropractic
NPI 1285041087
3316 WOODS BLVD
Tyler, TX 75707
(903) 787-5925
✔ 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 Gardner Chiropractic, PA's NPI number?

The NPI number for Gardner Chiropractic, PA is 1780089789. It was assigned to this organization in the NPPES registry on November 3, 2014. The provider is doing business as Spine And Sport Family Chiropractic.

Where is Gardner Chiropractic, PA located?

Gardner Chiropractic, PA is located at 3316 Woods Blvd, Tyler, TX 75707. The listed phone number is (903) 787-5925.

What is Gardner Chiropractic, PA's specialty?

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

Is Gardner Chiropractic, PA enrolled in Medicare?

Yes. Gardner Chiropractic, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gardner Chiropractic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Gardner Chiropractic, PA. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gardner Chiropractic, PA was last updated on March 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.