1. Home
  2. Directory
  3. Mississippi
  4. Tupelo
  5. Chiropractor
  6. NPI Profile

DR. RON HERNDON D.C.
NPI 1053462036
Chiropractor in Tupelo, MS

Active since January 16, 2007
2087 CLIFF GOOKIN BLVD., TUPELO, MS 38801(662) 842-8413(662) 844-3292 Get Directions Write a Review

NPPES record last updated: December 31, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ron Herndon D.c. NPPES

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

DR. RON HERNDON D.C. (NPI 1053462036) is an individual chiropractor in Tupelo, Mississippi, licensed in Mississippi (399) and active in the NPI registry since January 2007. He is a graduate of Palmer College Chiropractic - Davenport (1977).

NPPES Registry Identity

NPI1053462036
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RON HERNDONCredential: D.C.
Location Address2087 CLIFF GOOKIN BLVD.Tupelo, MS 38801
Mailing Address2087 Cliff Gookin Blvd.Tupelo, MS 38801 · (662) 842-8413 · Fax (662) 844-3292
Phone(662) 842-8413
Fax(662) 844-3292
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1977
Enumeration DateJanuary 16, 2007
Last NPPES UpdateDecember 31, 2007
✔ NPI 1053462036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 399
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.
2087 CLIFF GOOKIN BLVD., Tupelo, MS 38801
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINT21216MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ron Herndon D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325201114
PECOS Enrollment IDI20120514000686

Medicare Billing Reassignment

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

Herndon Chiropractic LLC
2.0 mi
Chiropractor
2087 CLIFF GOOKIN BLVD
Tupelo, MS 38801
  • Reassigned Medicare billing, Mississippi enrollment
NPI 1740760552 (662) 842-8413

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
2,835 services122 patients

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 Ron Herndon's NPI number?

The NPI number for Ron Herndon is 1053462036. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Ron Herndon located?

Ron Herndon practices at 2087 Cliff Gookin Blvd., Tupelo, MS 38801. The listed phone number is (662) 842-8413.

What is Ron Herndon's specialty?

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

Is Ron Herndon enrolled in Medicare?

Yes. Ron Herndon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ron Herndon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ron Herndon reassigns Medicare benefits to Herndon Chiropractic LLC (Tupelo, MS). 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 Ron Herndon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ron Herndon accept?

Health plans from Providence Health Plan list Ron Herndon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ron Herndon was last updated on December 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.