Active NPI
Leon T McClerren, DC
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1063609832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH6648
- Practice address
- 5222 Lenox Ave
Jacksonville, FL 32205-4838 - Phone
- (904) 783-0008
- Fax
- (904) 389-5227
- NPI assigned
- Sep 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH6648 | FL | Primary |
Addresses
Primary practice location
5222 Lenox Ave
Jacksonville, FL 32205-4838
Mailing address
5222 Lenox Ave
Jacksonville, FL 32205-4838
Phone (904) 783-0008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH6648 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mediquick Urgent Care Centers Inc | Current | Accepting new patients | |
| Florida Multi Specialty Medical Group, PA | Current | Accepting new patients | |
| Rta Health Care | Chiropractor | Past | Accepting new patients |
Locations
91 Branscomb Rd
Ste 1
Green Cove Springs, FL 32043
Phone (904) 783-0008
2140 Kingsley Ave
Ste 2
Orange Park, FL 32073
Phone (904) 375-1963
Organizations & group practices 4
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.
-
- Neurology Physician
- Green Cove Springs, FL
- NPI 1447609011
-
- Physical Medicine & Rehabilitation Physician
- Jacksonville, FL
- NPI 1356497572
-
- Urgent Care Clinic/Center
- Palm Coast, FL
- NPI 1053363036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1063609832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5222 LENOX AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322054838",
"telephone_number": "904-783-0008",
"fax_number": "904-389-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5222 LENOX AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322054838",
"telephone_number": "904-783-0008",
"fax_number": "904-389-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLERREN",
"first_name": "LEON",
"middle_name": "T",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-26",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH6648",
"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 Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.