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STAGECOACH FAMILY CHIROPRACTIC PLLC
NPI 1104218536
Chiropractor in Clemmons, NC

Active since February 23, 2015
6000 MEADOWBROOK MALL CT STE 3A, CLEMMONS, NC 27012(336) 893-5662 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stagecoach Family Chiropractic Pllc NPPES

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

STAGECOACH FAMILY CHIROPRACTIC PLLC (NPI 1104218536), doing business as Crossroads Chiropractic, is a healthcare organization registered as a chiropractor in Clemmons, North Carolina and active in the NPI registry since February 2015. The organization lists Jason Barker, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1104218536
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSTAGECOACH FAMILY CHIROPRACTIC PLLC
Location Address6000 MEADOWBROOK MALL CT STE 3AClemmons, NC 27012-8775
Mailing Address6000 Meadowbrook Mall Ct Ste 3aClemmons, NC 27012-8775 · (336) 893-5662
Phone(336) 893-5662
Organization SubpartNo
Authorized OfficialJason BarkerOwner/doctor · (919) 630-4821
Enumeration DateFebruary 23, 2015
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1104218536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 4163
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.
6000 MEADOWBROOK MALL CT STE 3A, Clemmons, NC 27012
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Other Names 1

Doing Business AsCrossroads Chiropractic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stagecoach Family Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Stagecoach Family Chiropractic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jason Barker, D.C
Chiropractic
NPI 1043648751
6000 MEADOWBROOK MALL CT STE 3A
Clemmons, NC 27012
(336) 893-5662
✔ Accepts MedicareSame address
Andrew Green, D.C.
Chiropractic
NPI 1578890356
6000 MEADOWBROOK MALL CT STE 3A
Clemmons, NC 27012
(363) 893-5662
✔ Accepts MedicareSame address

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

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 Stagecoach Family Chiropractic PLLC's NPI number?

The NPI number for Stagecoach Family Chiropractic PLLC is 1104218536. It was assigned to this organization in the NPPES registry on February 23, 2015. The provider is doing business as Crossroads Chiropractic.

Where is Stagecoach Family Chiropractic PLLC located?

Stagecoach Family Chiropractic PLLC is located at 6000 Meadowbrook Mall Ct Ste 3A, Clemmons, NC 27012. The listed phone number is (336) 893-5662.

What is Stagecoach Family Chiropractic PLLC's specialty?

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

Is Stagecoach Family Chiropractic PLLC enrolled in Medicare?

Yes. Stagecoach Family Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stagecoach Family Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Stagecoach Family Chiropractic PLLC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stagecoach Family Chiropractic PLLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.