DR. TYLER RANDOLPH DC
NPI 1255109534
Chiropractor in Waynesboro, VA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Tyler Randolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waynesboro, VA 22980
- Reassigned Medicare billing, Virginia enrollment
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Tyler Randolph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Randolph reassigns Medicare benefits to Healing Path Chiropractic LLC (Waynesboro, 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 Tyler Randolph'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 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.
# Dr. Tyler Randolph, DC · NPI 1255109534
Chiropractor provider in Waynesboro, Virginia. Individual provider, active in the CMS NPPES registry since December 15, 2023.
## Identity
- **NPI:** 1255109534 (Entity type: Individual)
- **Enumerated:** December 15, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 0104557681 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 520 LEW DEWITT BLVD STE 402, Waynesboro, VA 22980-1644
- **Phone:** (540) 943-3638
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Healing Path Chiropractic LLC (NPI 1003681842, Waynesboro, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Life Chiropractic College, class of 2020
## Record status
- **NPPES last updated:** December 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1255109534) · Data from the CMS NPPES public registry.