JONATHAN EDDY (D.C.) – Chiropractor, NPI 1396277547

JONATHAN EDDY (D.C.) is a healthcare provider. based in Fairfax, Virginia. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 0104-557404 (VA). The NPI Number for JONATHAN EDDY (D.C.) is 1396277547

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN EDDY (D.C.)
NPI
1396277547
Phone
(703) 457-2337
Address
3970 WALNUT ST
Enumeration Date
28 March 2017
Last Update Date
14 November 2022

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
6788794242
Graduation Year
2017 (9 years ago)
PAC ID
5991076754
Group Practice PAC ID
7517304181
Professional Enrollment ID
I20240329000384
Address ID
GA300054458AL3502XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

801 CHIROPRACTIC in VA

Provider Addresses for JONATHAN EDDY (D.C.)

  • 3970 WALNUT ST

    FAIRFAX, VA 220304726

    Phone: (703) 457-2337

    Type: Mailing

  • 198 SPOTNAP RD

    SUITE C-2

    CHARLOTTESVILLE, VA 229118614

    Phone: (434) 977-9797

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240329000384IChiropracticGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517304181View full group profile
NameSpecialtyState
C H I R O P R A C T I CVA

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Frequently asked questions

How is JONATHAN EDDY (D.C.) identified in CMS data?
CMS-hosted NPPES data lists JONATHAN EDDY (D.C.) with NPI 1396277547.
Is JONATHAN EDDY (D.C.) listed as active for patients and plans?
The listing shows JONATHAN EDDY (D.C.) as active in the NPI system.
What healthcare role does JONATHAN EDDY (D.C.) hold?
Scheduling teams often label JONATHAN EDDY (D.C.) under Chiropractor. Clinical services aligned with this taxonomy classification.
What area does JONATHAN EDDY (D.C.) serve?
JONATHAN EDDY (D.C.)'s listing highlights Fairfax, Virginia; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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