DR. NICHOLAS THOMAS TEDDER D.C
NPI 1871664730
Chiropractor in Dacula, GA

Active since November 13, 2006
3635 BRASELTON HWY, SUITE B-2, DACULA, GA 30019(770) 614-9444 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nicholas Thomas Tedder D.c NPPES

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

DR. NICHOLAS THOMAS TEDDER D.C (NPI 1871664730) is an individual chiropractor in Dacula, Georgia, licensed in Georgia (CHIRO007771) and active in the NPI registry since November 2006. He is a graduate of Sherman College Of Straight Chiropractic (2004).

NPPES Registry Identity

NPI1871664730
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. NICHOLAS THOMAS TEDDERCredential: D.C
Location Address3635 BRASELTON HWY, SUITE B-2Dacula, GA 30019-1068
Mailing Address3635 Braselton Hwy, Suite B-2Dacula, GA 30019-1068 · (770) 614-9444
Sole ProprietorNo
Medical School CMSSherman College Of Straight ChiropracticGraduated 2004
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871664730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIRO007771
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.
3635 BRASELTON HWY, Dacula, GA 30019

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas Thomas Tedder D.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204880479
PECOS Enrollment IDI20050310000237

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Tedder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Chiropractor
3635 BRASELTON HWY, SUITE B2
Dacula, GA 30019
  • Reassigned Medicare billing, Georgia 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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
310 services19 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
3635 BRASELTON HWY, SUITE C
DACULA, GA 30019
Dental Assistant
3635 BRASELTON HWY, SUITE C
DACULA, GA 30019
General Practice
3635 BRASELTON HWY, SUITE C
DACULA, GA 30019
Clinic/Center (Radiology)
3635 BRASELTON HWY, SUITE A
DACULA, GA 30019
Chiropractor
3635 BRASELTON HWY, SUITE B2
DACULA, GA 30019
Physical Therapist
3635 BRASELTON HWY, SUITE C
DACULA, GA 30019

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 Nicholas Tedder's NPI number?

The NPI number for Nicholas Tedder is 1871664730. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Nicholas Tedder located?

Nicholas Tedder practices at 3635 Braselton Hwy Suite B-2, Dacula, GA 30019. The listed phone number is (770) 614-9444.

What is Nicholas Tedder's specialty?

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

Is Nicholas Tedder enrolled in Medicare?

Yes. Nicholas Tedder is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Tedder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Tedder reassigns Medicare benefits to N8 Health, LLC (Dacula, GA). 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 Nicholas Tedder'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 Nicholas Tedder was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.