Active NPI
Mark Anthony Taylor, D.C.
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1144357526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8725
- Practice address
- 2851 Edgewood Ave N
Suite 18
Jacksonville, FL 32254-1400 - Phone
- (904) 359-5464
- Fax
- (904) 359-5460
- NPI assigned
- Feb 27, 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 | CH8725 | FL | Primary |
Addresses
Primary practice location
2851 Edgewood Ave N
Suite 18
Jacksonville, FL 32254-1400
Mailing address
1428 Heather CT
St Augustine, FL 32092-3446
Phone (904) 940-0656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
691 7TH St
Chipley, FL 32428-1905
Phone (850) 638-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Chiropractic Corp | Chiropractor | Current | Accepting new patients |
| Jlsolana Jr Inc | Past | Accepting new patients |
Locations
691 7th St
Chipley, FL 32428
Phone (850) 638-7500
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.
-
- Chiropractor
- Chipley, FL
- NPI 1174700397
-
- Rehabilitation Chiropractor
- Jacksonville, FL
- NPI 1285757526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1144357526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 HEATHER CT",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923446",
"telephone_number": "904-940-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 EDGEWOOD AVE N",
"address_2": "SUITE 18",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322541400",
"telephone_number": "904-359-5464",
"fax_number": "904-359-5460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "MARK",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8725",
"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 Oct 6, 2011; 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.