DR. JUSTIN SCOTT PEASLEY D.C.
NPI 1790109536
Chiropractor in Holland, MI
About Dr. Justin Scott Peasley D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUSTIN SCOTT PEASLEY D.C. (NPI 1790109536) is an individual chiropractor in Holland, Michigan, licensed in Michigan (2301010169) and active in the NPI registry since February 2014. He is a graduate of Other (2013).
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)
Dr. Justin Scott Peasley D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Justin Peasley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Holland, MI 49423
- Reassigned Medicare billing, Michigan enrollment
- 2 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 3
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 Justin Peasley's NPI number?
The NPI number for Justin Peasley is 1790109536. It was assigned to this individual provider in the NPPES registry on February 14, 2014.
Where is Justin Peasley located?
Justin Peasley practices at 442 Century Ln Suite 200, Holland, MI 49423. The listed phone number is (864) 908-8480.
What is Justin Peasley's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Justin Peasley enrolled in Medicare?
Yes. Justin Peasley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Justin Peasley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Peasley reassigns Medicare benefits to Peasley Brothers Chiropractic PC (Holland, MI). 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 Justin Peasley'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 Justin Peasley was last updated on February 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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. Justin Scott Peasley, D.C. · NPI 1790109536
Chiropractor provider in Holland, Michigan. Individual provider, active in the CMS NPPES registry since February 14, 2014.
## Identity
- **NPI:** 1790109536 (Entity type: Individual)
- **Enumerated:** February 14, 2014
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 2301010169 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 442 CENTURY LN, SUITE 200, Holland, MI 49423-4294
- **Phone:** (864) 908-8480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Peasley Brothers Chiropractic PC (NPI 1386068948, Holland, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** February 18, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1790109536) · Data from the CMS NPPES public registry.