Jack Lee McGrew, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15219 Issued in FL

Practice address

148 Nottingham Dr E
Saint Johns, FL 32259-7904

Phone

(304) 741-9669

NPI assigned

Oct 7, 2024

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

Palmer College Chiropractic - Davenport, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• McGrew Clinic LLC

  • Chiropractor
  • Ponte Vedra Beach, FL
  • NPI 1407670110
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1346069382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 NOTTINGHAM DR E",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322597904",
            "telephone_number": "304-741-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 NOTTINGHAM DR E",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322597904",
            "telephone_number": "304-741-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGREW",
        "first_name": "JACK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willie McFadden Jr.
• Shushana McFarlane
• Leonice McGarvey
• Darnay P McGee, BEHAVIOR TECHNICIAN
• Nicholas Isaiah McGee, BEHAVIOR TECHNICIAN
• Bernadette McHugh, M.S.P.T.
• Sharon Mary McInerney, MA CCC-SLP
• Nineveh A McIntosh, PA-C
• Neil McLaughlin
• Jasmyne Michele McLemore, RBT

• Chiropractor in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.