Active NPI
Jamie Grainger, D.C.
- Chiropractor
- Debary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 12148
- Practice address
- 70 Fox Ridge CT Ste a
Debary, FL 32713-2752 - Phone
- (386) 668-6321
- NPI assigned
- Apr 15, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- 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 | CH 12148 | FL | Primary |
Addresses
Primary practice location
70 Fox Ridge CT Ste a
Debary, FL 32713-2752
Mailing address
58 N Charles Richard Beall Blvd Ste B
Debary, FL 32713-2507
Phone (386) 668-6321
Other practice location 1
587 Majestic Oak Dr
Apopka, FL 32712-4083
Phone (321) 804-1897
Other practice location 2
58 N Charles Richard Beall Blvd Ste B
Debary, FL 32713-2507
Phone (386) 668-6321
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | doc@ultimatespine.com | Direct |
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
- Palmer College Chiropractic - Davenport, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
70 Fox Ridge CT
Suite a
Debary, FL 32713-2752
Phone (386) 668-6321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 12148 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debary Chiropractic Center Corp | Chiropractor | Current | Accepting new patients |
| Ultimate Medical Clinic LLC | Current | Accepting new patients |
Locations
58 N US Highway 17 92
Ste B
Debary, FL 32713
Phone (386) 668-6321
70 Fox Ridge Ct
Ste A
Debary, FL 32713
Phone (386) 668-4411
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Debary, FL
- NPI 1255853461
-
- Primary Care Clinic/Center
- Debary, FL
- NPI 1922692003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1194259226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 N CHARLES RICHARD BEALL BLVD STE B",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132507",
"telephone_number": "386-668-6321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 FOX RIDGE CT STE A",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132752",
"telephone_number": "386-668-6321"
}
],
"practiceLocations": [
{
"address_1": "587 Majestic Oak Dr",
"address_purpose": "LOCATION",
"city": "Apopka",
"state": "FL",
"postal_code": "327124083",
"country_code": "US",
"telephone_number": "321-804-1897",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "58 N Charles Richard Beall Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Debary",
"state": "FL",
"postal_code": "327132507",
"country_code": "US",
"telephone_number": "386-668-6321",
"fax_number": "386-668-6321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAINGER",
"first_name": "JAMIE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-15",
"last_updated": "2022-07-21",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 12148",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "doc@ultimatespine.com",
"affiliation": "N",
"endpointDescription": "Gmail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "70 Fox Ridge Ct Ste A",
"city": "Debary",
"state": "FL",
"country_code": "US",
"postal_code": "327132752",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Debary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.