Individual provider Active NPI

Tammy Lynn Triplett-Kesky, D.C.

  • Sports Physician Chiropractor
  • Shallotte, NC
National Provider Identifier
1790776367
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
3306 Issued in NC
Practice address
712 Village Rd
Suite 101
Shallotte, NC 28470-3412
Phone
(910) 755-5400
Fax
(910) 755-5402
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 3306 NC Primary

Addresses

Primary practice location

712 Village Rd
Suite 101
Shallotte, NC 28470-3412

Mailing address

712 Village Rd
Suite 101
Shallotte, NC 28470-3412
Phone (910) 755-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3306NCMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Chiropractic Clinic P.C. PastSince Jun 1, 2004 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790776367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 VILLAGE RD",
            "address_2": "SUITE 101",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703412",
            "telephone_number": "910-755-5400",
            "fax_number": "910-755-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 VILLAGE RD",
            "address_2": "SUITE 101",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703412",
            "telephone_number": "910-755-5400",
            "fax_number": "910-755-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPLETT-KESKY",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "3306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.