Organization Active NPI

Premier Chiropractic PLLC

  • Chiropractor
  • Adrian, MI
National Provider Identifier
1790140671
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009567 Issued in MI
Legal business name
PREMIER CHIROPRACTIC PLLC
Practice address
1042 Sutton Rd
Adrian, MI 49221-8344
Phone
(517) 759-4746
Fax
(517) 759-4956
NPI assigned
Dec 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rebecca Janess Maddox, D.C.NPI 1073842969
Title
President
Phone
(517) 759-4746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009567 MI Primary

Addresses

Primary practice location

1042 Sutton Rd
Adrian, MI 49221-8344

Mailing address

1042 Sutton Rd
Adrian, MI 49221-8344
Phone (517) 759-4746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160201000288 MI Part B Supplier - Clinic/Group Practice 6901100692 Receives reassigned benefits from 1 practitioner
Practice locations: Adrian, MI

National Provider Directory

National Provider Directory

Locations

1042 Sutton Rd
Adrian, MI 49221
Phone (517) 759-4746

1042 Sutton Rd
Unit 2B
Adrian, MI 49221
Phone (517) 759-4746

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1790140671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 SUTTON RD",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218344",
            "telephone_number": "517-759-4746",
            "fax_number": "517-759-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 SUTTON RD",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218344",
            "telephone_number": "517-759-4746",
            "fax_number": "517-759-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JANESS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-759-4746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.