Jayde Marie Gray, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11736 Issued in FL

Practice address

5211 South Fletcher Ave.
Suite 250
Amelia Island, FL 32034

Phone

(904) 775-8949

NPI assigned

Dec 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

8 Flags ChiropracticGroup PAC ID 3375826605, 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.

• 8 Flags Chiropractic

  • Chiropractor
  • Amelia Island, FL
  • NPI 1619411485
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1114392438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 SOUTH FLETCHER AVE.",
            "address_2": "SUITE 250",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "904-775-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 SOUTH FLETCHER AVE.",
            "address_2": "SUITE 250",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "904-775-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JAYDE",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renee Carlisle, PTA
• CMZ Chiropractic LLC
• Family Counseling & Psychological Services LLC
• Genesis Eldercare Rehabilitation Services LLC
• Genesis Eldercare Rehabilitation Services LLC
• Gregory N. Smith MD PA
• Ken Ferrell Johnson Jr., PSYD
• Michele Elizabeth Johnson, LMHC
• Emily Jones, ATC, LAT
• Live Long Well Care, LLC (Live Long Well Care of Nassau County)

• Chiropractor in Amelia Island, FL
• Providers in Amelia Island, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.