Organization Active NPI

Edge Family Chiropractic, P.a.

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1285950113
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0005258 Issued in FL
Legal business name
EDGE FAMILY CHIROPRACTIC, P.A.
Practice address
8124 Pensacola Blvd
Pensacola, FL 32534-4354
Phone
(850) 476-7117
Fax
(850) 479-4622
NPI assigned
Apr 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Mr. Gregory Stewart
Title
Director
Phone
(850) 476-7117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0005258 FL Primary

Addresses

Primary practice location

8124 Pensacola Blvd
Pensacola, FL 32534-4354

Mailing address

8124 Pensacola Blvd
Pensacola, FL 32534-4354
Phone (850) 476-7117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100617000542 FL Part B Supplier - Clinic/Group Practice 2365572310 Receives reassigned benefits from 2 practitioners
Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory

Locations

8124 Pensacola Blvd
Pensacola, FL 32534
Phone (850) 476-7117

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1285950113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8124 PENSACOLA BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325344354",
            "telephone_number": "850-476-7117",
            "fax_number": "850-479-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8124 PENSACOLA BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325344354",
            "telephone_number": "850-476-7117",
            "fax_number": "850-479-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE FAMILY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-476-7117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.