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DR. TYLER RANDOLPH DC
NPI 1255109534
Chiropractor in Waynesboro, VA

Active since December 15, 2023Accepts Medicare Assignment
520 LEW DEWITT BLVD STE 402, WAYNESBORO, VA 22980(540) 943-3638 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tyler Randolph Dc NPPES

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

DR. TYLER RANDOLPH DC (NPI 1255109534) is an individual chiropractor in Waynesboro, Virginia, licensed in Virginia (0104557681) and active in the NPI registry since December 2023. He is a graduate of Life Chiropractic College (2020).

NPPES Registry Identity

NPI1255109534
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TYLER RANDOLPHCredential: DC
Location Address520 LEW DEWITT BLVD STE 402Waynesboro, VA 22980-1644
Mailing Address83 Jaspers LnStuarts Draft, VA 24477-2849 · (540) 836-8416
Phone(540) 943-3638
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2020
Enumeration DateDecember 15, 2023
NPPES CertifiedDecember 15, 2023
✔ NPI 1255109534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104557681
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.
520 LEW DEWITT BLVD STE 402, Waynesboro, VA 22980
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tyler Randolph Dc 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 ID8123471430
PECOS Enrollment IDI20240201004189

Other Providers at the Same Location NPPES

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

HEALING PATH CHIROPRACTIC LLC
Chiropractor
520 LEW DEWITT BLVD STE 402
WAYNESBORO, VA 22980
Waynesboro City (540) 943-3638

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 Tyler Randolph's NPI number?

The NPI number for Tyler Randolph is 1255109534. It was assigned to this individual provider in the NPPES registry on December 15, 2023.

Where is Tyler Randolph located?

Tyler Randolph practices at 520 Lew Dewitt Blvd Ste 402, Waynesboro, VA 22980. The listed phone number is (540) 943-3638.

What is Tyler Randolph's specialty?

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

Is Tyler Randolph enrolled in Medicare?

Yes. Tyler Randolph 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.

When was this NPI record last updated?

The NPPES record for Tyler Randolph was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.