Individual provider Active NPI

Mark Thomas Murphy, D.C.

  • Chiropractor
  • St Augustine, FL
National Provider Identifier
1225325806
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10299 Issued in FL
Practice address
1884 S Cappero Dr
Saint Augustine, FL 32092-4768
Phone
(904) 477-8156
NPI assigned
Jul 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10299 FL Primary

Addresses

Primary practice location

1884 S Cappero Dr
Saint Augustine, FL 32092-4768

Mailing address

1884 S Cappero Dr
Saint Augustine, FL 32092-4768
Phone (904) 477-8156

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121228000354 FL Practitioner - Chiropractic 6406009307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murphy Chiropractic Health Center LLCGroup PAC ID 5597918490, 2 clinicians

Practice addresses (Care Compare)

150 Registry Blvd
Suite 103
Saint Augustine, FL 32092-3823
Phone (904) 940-9813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10299FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Murphy Chiropractic Health Center, LLC Chiropractor CurrentSince Nov 10, 2012 Accepting new patients
Nuwave Holistic Health Center PLLC Chiropractor PastSince Nov 17, 2025 Accepting new patients

Locations

150 Registry Blvd
Ste 103
St Augustine, FL 32092
Phone (904) 940-9813

475 W Town Pl
Ste 115
St Augustine, FL 32092
Phone (904) 679-5406

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.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1225325806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 S CAPPERO DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320924768",
            "telephone_number": "904-477-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 S CAPPERO DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320924768",
            "telephone_number": "904-477-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.