McGrew Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MCGREW CLINIC LLC

Practice address

166 A1A N Ste 101
Ponte Vedra Beach, FL 32082-5701

Phone

(304) 741-9669

NPI assigned

Nov 9, 2024

Organization subpart

No

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

Authorized official

Name

Jack Lee McGrew, DCNPI 1346069382

Title

Chiropractor/Owner

Phone

(304) 741-9669

Specialties & licenses 1

Addresses

Other names 1

• Peak Health Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Jack Lee McGrew, DC

  • Chiropractor
  • Saint Johns, FL
  • NPI 1346069382
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731110400000",
    "number": "1407670110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 A1A N STE 101",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825701",
            "telephone_number": "304-741-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 A1A N STE 101",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825701",
            "telephone_number": "304-741-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGREW CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A",
        "authorized_official_last_name": "MCGREW",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "304-741-9669",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Anne Mazies
• Shane Francis McCann, D.C.
• McCaulie Primary Care P a
• Sean Christopher McClafferty, DPT
• Laura Vazzo McDevitt, M.ED.,R.D.,LD/N
• Melissa McHale
• Meltem McHugh
• Connor McKechnie
• Lindsay Gwyn McKim, MSN, PH.D
• Angela M McKnight, PA

• Chiropractor in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.