Gavin James McCutcheon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10215 Issued in FL

Practice address

4401 Emerson St
Suite 1
Jacksonville, FL 32207-4962

Phone

(904) 399-8884

NPI assigned

Feb 14, 2011

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, 2010

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.

• Naturally Chiropractic LLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1255738084
  Medicare reassignment NPD Authorized official
• Joy Henry DC LLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1780443077
  NPD (past)
• Sambursky Chiropractic LLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1073740189
  NPD (past)
• Summit Integrative Health, LLC

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1295202984
  NPD (past)

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1427355247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 SAN JOSE BLVD",
            "address_2": "STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238637",
            "telephone_number": "904-683-9698",
            "fax_number": "904-683-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 EMERSON ST",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074962",
            "telephone_number": "904-399-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEON",
        "first_name": "GAVIN",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-14",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Angela McCurdie, OTR/L
• Ann Marie McCurdy, PA-C
• Belynda F McCurry, PA-C
• Rachel McCusker
• Monica McCutchen
• Sharon R McDade, A.N.P. - B.C.
• Tracy McDade, LCSW
• Jennifer McDaniel-Tandron, ARNP
• Brandy McDaniel, D.P.T
• Justin McDaniel, MSD, DMD, MS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.