RODRIQUEZ JOHNSON
NPI 1013610625
Chiropractor in Staunton, VA

Active since March 23, 2023Accepts Medicare Assignment
100 MACTANLY PL STE E, STAUNTON, VA 24401(540) 213-3904 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rodriquez Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RODRIQUEZ JOHNSON (NPI 1013610625) is an individual chiropractor in Staunton, Virginia, licensed in Virginia (0104557903) and active in the NPI registry since March 2023. He maintains a secondary practice location in Waynesboro and is a graduate of Sherman College Of Straight Chiropractic (2022).

NPPES Registry Identity

NPI1013610625
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameRODRIQUEZ JOHNSON
Location Address100 MACTANLY PL STE EStaunton, VA 24401-2383
Mailing Address100 Mactanly Pl Ste EStaunton, VA 24401-2383 · (540) 213-3904
Sole ProprietorNo
Medical School CMSSherman College Of Straight ChiropracticGraduated 2022
Enumeration DateMarch 23, 2023
NPPES CertifiedMarch 23, 2023
✔ NPI 1013610625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104557903
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
100 MACTANLY PL STE E, Staunton, VA 24401

Secondary Practice Location 1

Location 12556 Jefferson Hwy Ste 104Waynesboro, VA 22980-6555 · Phone (540) 213-3904

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rodriquez Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971968744
PECOS Enrollment IDI20251008003253

Medicare Billing Reassignment

Medicare enrollment records show Rodriquez Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
7770 RICHMOND HWY STE D
Alexandria, VA 22306
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
100 MACTANLY PL STE E
STAUNTON, VA 24401
Chiropractor
100 MACTANLY PL STE E
STAUNTON, VA 24401
Chiropractor
100 MACTANLY PL STE E
STAUNTON, VA 24401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rodriquez Johnson's NPI number?

The NPI number for Rodriquez Johnson is 1013610625. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Rodriquez Johnson located?

Rodriquez Johnson practices at 100 Mactanly Pl Ste E, Staunton, VA 24401. The listed phone number is (540) 213-3904.

What is Rodriquez Johnson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Rodriquez Johnson enrolled in Medicare?

Yes. Rodriquez Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Rodriquez Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodriquez Johnson reassigns Medicare benefits to Palmercare Chiropractic Alexandria LLC (Alexandria, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rodriquez Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rodriquez Johnson was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.