Individual provider Active NPI

Tyler Lee Maxey, DC

  • Chiropractor
  • Gaffney, SC
National Provider Identifier
1902334345
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4238 Issued in SC
Practice address
111 W Rutledge Ave
Gaffney, SC 29340-2232
Phone
(864) 489-2444
Fax
(864) 489-6948
NPI assigned
May 30, 2017
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4238 SC Primary
Pediatric Chiropractor 111NP0017X 4238 SC

Addresses

Primary practice location

111 W Rutledge Ave
Gaffney, SC 29340-2232

Mailing address

111 W Rutledge Ave
Gaffney, SC 29340-2232
Phone (864) 489-2444

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
4238SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce D. Mikota,D.C.,P.a. CurrentSince Jun 24, 2026 Accepting new patients
Gaffney Spine & Health Inc Chiropractor CurrentSince Jun 24, 2026 Accepting new patients
Adio Associates Inc Chiropractor PastSince Oct 2, 2019 Accepting new patients

Locations

111 W Rutledge Ave
Gaffney, SC 29340
Phone (864) 489-2444

Organizations & group practices 3

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1902334345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W RUTLEDGE AVE",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293402232",
            "telephone_number": "864-489-2444",
            "fax_number": "864-489-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W RUTLEDGE AVE",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293402232",
            "telephone_number": "864-489-2444",
            "fax_number": "864-489-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXEY",
        "first_name": "TYLER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4238",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "SC",
            "license": "4238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.