Individual provider Active NPI

Joy Marie Henry, D.C.

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1164799953
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10484 Issued in FL
Practice address
4401 Emerson St Ste 1
Jacksonville, FL 32207-4954
Phone
(757) 630-0712
NPI assigned
Nov 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10484 FL Primary

Addresses

Primary practice location

4401 Emerson St Ste 1
Jacksonville, FL 32207-4954

Mailing address

1149 Nesting Eagles LN
Jacksonville, FL 32225-5212
Phone (757) 630-0712

Other practice location 1

1149 Nesting Eagles Ln
Jacksonville, FL 32225-5212
Phone (757) 630-0712

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120315000683 FL Practitioner - ChiropracticPractitioner - Hospice/Palliative CarePractitioner - Sports MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - Pain ManagementPractitioner - Preventive Medicine 2365601036 Reassigns benefits to 1 organization
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10484FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Henry DC LLC Chiropractor CurrentSince Nov 1, 2025 Accepting new patients

Locations

4401 Emerson St
Ste 1
Jacksonville, FL 32207
Phone (757) 630-0712

4417 Beach Blvd
Ste 100
Jacksonville, FL 32207
Phone (904) 399-8884

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1164799953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 NESTING EAGLES LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255212",
            "telephone_number": "757-630-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 EMERSON ST STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074954",
            "telephone_number": "757-630-0712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1149 Nesting Eagles Ln",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322255212",
            "country_code": "US",
            "telephone_number": "757-630-0712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JOY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10484",
            "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 18, 2024; 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.