SHAUN HAIRSTON DC
NPI 1639050909
Chiropractor in Colonial Heights, VA

Active since September 11, 2025Accepts Medicare Assignment
3507 BOULEVARD STE A, COLONIAL HEIGHTS, VA 23834(804) 526-7125 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shaun Hairston Dc NPPES

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

SHAUN HAIRSTON DC (NPI 1639050909) is an individual chiropractor in Colonial Heights, Virginia, licensed in Virginia (0104558093) and active in the NPI registry since September 2025. She is a graduate of Logan College Of Chiropractic (2025).

NPPES Registry Identity

NPI1639050909
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameSHAUN HAIRSTONCredential: DC
Location Address3507 BOULEVARD STE AColonial Heights, VA 23834-1319
Mailing Address814 Commerce Dr Ste 300Oak Brook, IL 60523-8823 · (630) 468-1824
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2025
Enumeration DateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1639050909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104558093
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.
3507 BOULEVARD STE A, Colonial Heights, VA 23834

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

Shaun Hairston 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 ID9335636943
PECOS Enrollment IDI20251016003022

Medicare Billing Reassignments

2

Medicare enrollment records show Shaun Hairston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiropractor
3507 BOULEVARD STE A
Colonial Heights, VA 23834
  • Reassigned Medicare billing, Virginia enrollment
  • 7 clinicians in this Medicare group
Chiropractor
5600 PATTERSON AVE STE D
Richmond, VA 23226
  • Reassigned Medicare billing, Virginia enrollment
  • 4 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.

Other Providers at the Same Location NPPES

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

Chiropractor
3507 BOULEVARD STE A
COLONIAL HEIGHTS, VA 23834

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 Shaun Hairston's NPI number?

The NPI number for Shaun Hairston is 1639050909. It was assigned to this individual provider in the NPPES registry on September 11, 2025.

Where is Shaun Hairston located?

Shaun Hairston practices at 3507 Boulevard Ste A, Colonial Heights, VA 23834. The listed phone number is (804) 526-7125.

What is Shaun Hairston's specialty?

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

Is Shaun Hairston enrolled in Medicare?

Yes. Shaun Hairston 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 organizations bill Medicare for Shaun Hairston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaun Hairston reassigns Medicare benefits to 2 organizations: Chiro One Wellness Center Of Colonial Heights LLC (Colonial Heights, VA) and Chiro One Wellness Center Of Richmond LLC (Richmond, VA). Each 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 Shaun Hairston'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 Shaun Hairston was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.