Organization Active NPI

Athletic & Family Chiropractic, PL

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1104174226
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006369 Issued in FL
Legal business name
ATHLETIC & FAMILY CHIROPRACTIC, PL
Practice address
2309 Wednesday St
Tallahassee, FL 32308-4335
Phone
(850) 385-5113
Fax
(850) 385-5601
NPI assigned
Aug 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Lauren E Monteith
Title
Practice Manager
Phone
(850) 385-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0006369 FL Primary

Addresses

Primary practice location

2309 Wednesday St
Tallahassee, FL 32308-4335

Mailing address

2309 Wednesday St
Tallahassee, FL 32308-4335
Phone (850) 385-5113

Other names 1

  • Athletic & Family Chiropractic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130213000074 FL Part B Supplier - Clinic/Group Practice 8325292725 Receives reassigned benefits from 3 practitioners
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

2309 Wednesday St
Tallahassee, FL 32308
Phone (850) 385-5113

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1104174226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 WEDNESDAY ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084335",
            "telephone_number": "850-385-5113",
            "fax_number": "850-385-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 WEDNESDAY ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084335",
            "telephone_number": "850-385-5113",
            "fax_number": "850-385-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIC & FAMILY CHIROPRACTIC, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "MONTEITH",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "850-385-5113"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athletic & Family Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.

Verify at the official NPI Registry.