DR. JESSE ELIJAH MCCORD DC
NPI 1871306365
Chiropractor in Conyers, GA
About Dr. Jesse Elijah Mccord Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JESSE ELIJAH MCCORD DC (NPI 1871306365) is an individual chiropractor in Conyers, Georgia, licensed in Georgia (CHIR011320) and active in the NPI registry since January 2025.
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. Jesse Elijah Mccord Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jesse Mccord reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Conyers, GA 30013
- Reassigned Medicare billing, Georgia enrollment
- 2 clinicians in this Medicare group
Eatonton, GA 31024
- Reassigned Medicare billing, Georgia enrollment
- 4 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 4
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 Jesse Mccord's NPI number?
The NPI number for Jesse Mccord is 1871306365. It was assigned to this individual provider in the NPPES registry on January 29, 2025.
Where is Jesse Mccord located?
Jesse Mccord practices at 1927 Highway 138 NE Ste 500, Conyers, GA 30013. The listed phone number is (770) 860-8333.
What is Jesse Mccord's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jesse Mccord enrolled in Medicare?
Yes. Jesse Mccord is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jesse Mccord's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Mccord reassigns Medicare benefits to 2 organizations: Thacker Chiropractic Clinic, LLC (Conyers, GA) and Theodore G. Smith, D.C., P.C (Eatonton, GA). Each 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 Jesse Mccord'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 Jesse Mccord was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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. Jesse Elijah Mccord, DC · NPI 1871306365
Chiropractor provider in Conyers, Georgia. Individual provider, active in the CMS NPPES registry since January 29, 2025.
## Identity
- **NPI:** 1871306365 (Entity type: Individual)
- **Enumerated:** January 29, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CHIR011320 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1927 HIGHWAY 138 NE STE 500, Conyers, GA 30013-1254
- **Phone:** (770) 860-8333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Thacker Chiropractic Clinic, LLC (NPI 1255489712, Conyers, GA); Theodore G. Smith, D.C., P.C (NPI 1104996644, Eatonton, GA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1871306365) · Data from the CMS NPPES public registry.