Active NPI
Tyler Lee Maxey, DC
- Chiropractor
- Gaffney, SC
National Provider Identifier
1902334345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4238
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4238 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce D. Mikota,D.C.,P.a. | Current | Accepting new patients | |
| Gaffney Spine & Health Inc | Chiropractor | Current | Accepting new patients |
| Adio Associates Inc | Chiropractor | Past | 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.
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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.