Jeffrey M Eyerly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12254 Issued in FL

Practice address

401 Venture Dr Ste C
South Daytona, FL 32119-3475

Phone

(570) 262-0001

NPI assigned

Jul 8, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Eyerly Health and Wellness LLC

  • Chiropractor
  • South Daytona, FL
  • NPI 1477270890
  NPD Authorized official
• Compton Care

  • Medical Specialty Clinic/Center
  • The Villages, FL
  • NPI 1164199881
  NPD

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1144603143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 BOXWOOD LN",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687902",
            "telephone_number": "570-262-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 VENTURE DR STE C",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193475",
            "telephone_number": "570-262-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYERLY",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011047",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esp Case Management Professional, Inc
• Esp Case Management Professional, Inc
• Esp Case Management Professional, Inc
• Louise Marie Ethier, DOM, AP
• Eyerly Health and Wellness LLC
• Fagan Associates, Inc
• Charna Fagan, MA COUNSELING
• Mary L Fagaragan
• Family Care Physicans, LLP
• Paul Philip Farruggio, D.C.

• Chiropractor in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.