Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Randy D. Modglin, DC

Individual provider Nutrition Chiropractor · NPI 1932258191

Dr. Randy D. Modglin, DC is a Chiropractic in Johnson City, Tennessee. Qualified in 1996, 30 years ago. Practices with Spinal Corrective Ctr, a 4-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
30
Licensed in
TN
In the registry since
2007
Specialties on file
8
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

306 Sunset Dr Ste 100
Johnson City, TN 37604-2492
Phone: (423) 926-8304
Fax: (423) 926-5976
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC0000001352 (TN)
Nutrition Chiropractor Taxonomy 111NN1001X · Licence DC0000001352 (TN)
Radiology Chiropractor Taxonomy 111NR0200X · Licence DC0000001352 (TN)
Chiropractor Taxonomy 111N00000X · Licence 1352 (TN)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence DC0000001352 (TN)
Neurology Chiropractor Taxonomy 111NN0400X · Licence DC0000001352 (TN)
Orthopedic Chiropractor Taxonomy 111NX0800X · Licence DC0000001352 (TN)
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence DC0000001352T (TN)

Record details

NPI number1932258191
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJanuary 9, 2007
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Spinal Corrective Ctr — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount