Deborah Renee Kersey, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 7909 Issued in FL

Practice address

615 A1A N Ste 102
Ponte Vedra Beach, FL 32082-2748

Phone

(904) 273-2691

Fax

(904) 273-4607

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ponte Vedra Wellness Center IncGroup PAC ID 2860461522, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ponte Vedra Wellness Center Inc

  • Neurology Chiropractor
  • Ponte Vedra Beach, FL
  • NPI 1548438385
  Medicare reassignment Care Compare group NPD
• Donald B Campbell DC PA

  • Chiropractor
  • Jacksonville, FL
  • NPI 1265624506
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1033218805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 A1A N STE 102",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320822748",
            "telephone_number": "904-273-2691",
            "fax_number": "904-273-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 A1A N STE 102",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822748",
            "telephone_number": "904-273-2691",
            "fax_number": "904-273-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSEY",
        "first_name": "DEBORAH",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 7909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "K3380",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Kernohan, RDH
• Daniel Kessler
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• Dina Khentigan, DNP, RN, C-EFM, ACE-

• Chiropractor in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.