George Ryan Blackman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12981 Issued in FL

Practice address

902B Palm Blvd S
Niceville, FL 32578-2603

Phone

(850) 307-0035

NPI assigned

Jul 13, 2016

Last updated

Nov 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Beach Wellness Chiropractic Inc.

  dba Lincoln Chiropractic

  • Chiropractor
  • Anaheim, CA
  • NPI 1851160444
  NPD (past)

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1346693439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902B PALM BLVD S",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782603",
            "telephone_number": "850-307-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902B PALM BLVD S",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782603",
            "telephone_number": "850-307-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "GEORGE",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33644",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna Berrios, RBT
• Staci S. Berryman, BCBA
• Bio-Medical Applications of Florida, Inc. (Fresenius Medical Care Niceville)
• Jennie Bisson
• Allyson Blackburn
• Caroline Blauvelt
• Melissa Blizzard, BCBA
• Blue Sky DME Inc
• Bluewater Bay Dental, PA (Smileology)
• Bluewater Bay Urology LLC

• Chiropractor in Niceville, FL
• Providers in Niceville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.