Individual provider Active NPI

Stacy Craig, D.C.

  • Chiropractor
  • Daytona Beach, FL
National Provider Identifier
1043520232
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10121 Issued in FL
Practice address
305 Memorial Medical Pkwy Ste 305
Daytona Beach, FL 32117-5169
Phone
(386) 673-0201
Fax
(386) 677-8143
NPI assigned
Oct 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10121 FL Primary

Addresses

Primary practice location

305 Memorial Medical Pkwy Ste 305
Daytona Beach, FL 32117-5169

Mailing address

305 Memorial Medical Pkwy Ste 305
Daytona Beach, FL 32117-5169
Phone (386) 673-0201

Other practice location 1

5821 S Williamson Blvd Ste 206
Port Orange, FL 32128-6102
Phone (386) 673-0201

Other practice location 2

120 Cypress Edge Dr Ste 201
Palm Coast, FL 32164-8454
Phone (386) 673-0201

Other names 1

  • Stacy Craig Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000646 FL Practitioner - Chiropractic 7315136959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acquaro and Wakeman Chiropractic and Rehabilitation IncGroup PAC ID 5294718003, 4 clinicians

Practice addresses (Care Compare)

305 Memorial Medical Pkwy
Suite 305
Daytona Beach, FL 32117-5169
Phone (386) 673-0201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10121FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wakeman Chiropractic , PA Chiropractor CurrentSince Aug 7, 2016 Accepting new patients
Ormonds Family Chiropractic Center Chiropractor PastSince Sep 23, 2010 Accepting new patients

Locations

305 Memorial Medical Pkwy
Ste 305
Daytona Beach, FL 32117
Phone (386) 673-0201

26 N Beach St
Ste B
Ormond Beach, FL 32174
Phone (386) 673-0201

120 Cypress Edge Dr
Ste 201
Palm Coast, FL 32164
Phone (386) 231-4017

4883 Palm Coast Pkwy NW
Unit 4
Palm Coast, FL 32137
Phone (386) 445-4455

5821 S Williamson Blvd
Ste 206
Port Orange, FL 32128
Phone (386) 673-0201

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1043520232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175169",
            "telephone_number": "386-673-0201",
            "fax_number": "386-677-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175169",
            "telephone_number": "386-673-0201",
            "fax_number": "386-677-8143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5821 S Williamson Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321286102",
            "country_code": "US",
            "telephone_number": "386-673-0201",
            "fax_number": "386-677-8143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Cypress Edge Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321648454",
            "country_code": "US",
            "telephone_number": "386-673-0201",
            "fax_number": "386-677-5143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "STACY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "CRAIG",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.