BEN JOHNSON DC
NPI 1164039459
Chiropractor in Cookeville, TN
About Ben Johnson Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEN JOHNSON DC (NPI 1164039459) is an individual chiropractor in Cookeville, Tennessee, licensed in Tennessee (DC3325) and active in the NPI registry since September 2020.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ben Johnson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ben Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
The Villages, FL 32162
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: John C Theeck D.C., P.A.
- 7 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.
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 Ben Johnson's NPI number?
The NPI number for Ben Johnson is 1164039459. It was assigned to this individual provider in the NPPES registry on September 30, 2020.
Where is Ben Johnson located?
Ben Johnson practices at 1265 Interstate Dr Ste 201B, Cookeville, TN 38501. The listed phone number is (931) 854-9254.
What is Ben Johnson's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Ben Johnson enrolled in Medicare?
Yes. Ben Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ben Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ben Johnson reassigns Medicare benefits to John C Theeck Dc PA (The Villages, FL). 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 Ben 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 Ben Johnson was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ben Johnson, DC · NPI 1164039459
Chiropractor provider in Cookeville, Tennessee. Individual provider, active in the CMS NPPES registry since September 30, 2020.
## Identity
- **NPI:** 1164039459 (Entity type: Individual)
- **Enumerated:** September 30, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** DC3325 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1265 INTERSTATE DR STE 201B, Cookeville, TN 38501-5227
- **Phone:** (931) 854-9254
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** John C Theeck Dc PA (NPI 1033430921, The Villages, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1164039459) · Data from the CMS NPPES public registry.