Michael Joseph Paulk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9322 Issued in FL

Practice address

1413 Kingsley Ave
Orange Park, FL 32073-4527

Phone

(904) 264-3966

Fax

(904) 278-7171

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael J. Paulk P.a.Group PAC ID 8123262078, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Michael J. Paulk P.a.

  dba Kingsley Chiropractic

  • Chiropractor
  • Orange Park, FL
  • NPI 1366874661
  Medicare reassignment Care Compare group NPD Authorized official
• Bob Hutchinson PA

  • Chiropractor
  • Orange Park, FL
  • NPI 1235460619
  NPD (past)
• Etheredge Chiropractic PA

  • Orthopedic Chiropractor
  • Fruitland Park, FL
  • NPI 1003905084
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1285774620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734527",
            "telephone_number": "904-264-3966",
            "fax_number": "904-278-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734527",
            "telephone_number": "904-264-3966",
            "fax_number": "904-278-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULK",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristan Tushar Patel
• Path Medical, LLC (Path Medical - Arlington)
• Path Medical, LLC (Path Medical - Orange Park)
• Pathways Resolution Center, Inc. (OMS, Inc.)
• Laelisha Patton, ARNP
• Charity Payne, ATC
• Kelly Payne, PTA
• PCP Financial Services LLC
• Eidel Pearl, MSW
• Pearle Vision Inc.

• Chiropractor in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.