Organization Active NPI

Stagecoach Family Chiropractic PLLC

Doing business as Crossroads Chiropractic

  • Chiropractor
  • Clemmons, NC
National Provider Identifier
1104218536
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4163 Issued in NC
Legal business name
STAGECOACH FAMILY CHIROPRACTIC PLLC
Doing business as
Crossroads Chiropractic
Practice address
6000 Meadowbrook Mall CT Ste 3a
Clemmons, NC 27012-8775
Phone
(336) 893-5662
NPI assigned
Feb 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jason Barker, D.C.NPI 1043648751
Title
Owner/Doctor
Phone
(919) 630-4821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4163 NC Primary

Addresses

Primary practice location

6000 Meadowbrook Mall CT Ste 3a
Clemmons, NC 27012-8775

Mailing address

6000 Meadowbrook Mall CT Ste 3a
Clemmons, NC 27012-8775
Phone (336) 893-5662

Other names 1

  • Crossroads Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150409000032 NC Part B Supplier - Clinic/Group Practice 2062730765 Receives reassigned benefits from 2 practitioners
Practice locations: Clemmons, NC

National Provider Directory

National Provider Directory

Locations

6000 Meadowbrook Mall Ct
Ste 3
Clemmons, NC 27012

6000 Meadowbrook Mall Ct
Ste 3A
Clemmons, NC 27012
Phone (336) 893-5662

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1104218536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 MEADOWBROOK MALL CT STE 3A",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128775",
            "telephone_number": "336-893-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 MEADOWBROOK MALL CT STE 3A",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128775",
            "telephone_number": "336-893-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAGECOACH FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "919-630-4821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.