Active NPI
John Thomas Tierney, DC
- Chiropractor
- Southern Pines, NC
National Provider Identifier
1841275963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 702
- Practice address
- 1295 Old US #1 S
Ste F
Southern Pines, NC 28387 - Phone
- (910) 246-2099
- Fax
- (910) 692-5016
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 702 | NC | Primary |
Addresses
Primary practice location
1295 Old US #1 S
Ste F
Southern Pines, NC 28387
Mailing address
1295 Old US #1 S
Ste F
Southern Pines, NC 28387
Phone (910) 246-2099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908837 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 702 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petty Chiropractic, PLLC | Chiropractor | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1841275963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 OLD US #1 S",
"address_2": "STE F",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "28387",
"telephone_number": "910-246-2099",
"fax_number": "910-692-5016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 OLD US #1 S",
"address_2": "STE F",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "28387",
"telephone_number": "910-246-2099",
"fax_number": "910-692-5016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIERNEY",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908837",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southern Pines, 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.