Individual provider Active NPI

James Marshall III, D.C.

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1033598701
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11481 Issued in FL
Practice address
730 Beach Blvd Ste 101
Jacksonville, FL 32250-5352
Phone
(314) 267-2958
NPI assigned
May 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11481 FL Primary

Addresses

Primary practice location

730 Beach Blvd Ste 101
Jacksonville, FL 32250-5352

Mailing address

2161 Walkers Glen LN
Jacksonville, FL 32246-7178
Phone (314) 267-2958

Other practice location 1

7807 Baymeadows Rd E
suite 201
Jacksonville, FL 32256-9664
Phone (904) 306-7777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325001545 FL Practitioner - Chiropractic 1759719701 Reassigns benefits to 1 organization
Practice locations: Jacksonville, FL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall Establishment PLLCGroup PAC ID 8527418250, 2 clinicians

Practice addresses (Care Compare)

3980 Southside Blvd
Suite 108
Jacksonville, FL 32216-6612
Phone (904) 436-1106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11481FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Establishment PLLC Chiropractor CurrentSince Jan 1, 2024 Accepting new patients
Marshall Family Chiropractic Chiropractor PastSince May 2, 2015 Accepting new patients

Locations

3980 Southside Blvd
Ste 108
Jacksonville, FL 32216
Phone (904) 436-1106

3980 Southside Blvd
Ste 1
Jacksonville, FL 32216
Phone (904) 436-1106

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1033598701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 WALKERS GLEN LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467178",
            "telephone_number": "314-267-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BEACH BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322505352",
            "telephone_number": "314-267-2958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7807 Baymeadows Rd E",
            "address_2": "suite 201",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322569664",
            "country_code": "US",
            "telephone_number": "904-306-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "11481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.