Individual provider Active NPI

Kyle C Draney, D.C.

  • Chiropractor
  • Palatka, FL
National Provider Identifier
1457470742
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8090 Issued in FL
Practice address
2312 Crill Ave Ste 1B
Palatka, FL 32177-4800
Phone
(904) 540-6063
Fax
(386) 385-5977
NPI assigned
Mar 28, 2007
Last updated
Jul 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8090 FL Primary

Addresses

Primary practice location

2312 Crill Ave Ste 1B
Palatka, FL 32177-4800

Mailing address

2312 Crill Ave Ste 1B
Palatka, FL 32177-4800
Phone (904) 540-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827002250 FL Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 8921420886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 Zeagler Dr
Suite 501
Palatka, FL 32177-3887
Phone (904) 540-6063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8090FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Draney Chiropractic and Rehabilitation CurrentSince Apr 21, 2020 Accepting new patients

Locations

205 Zeagler Dr
Ste 501
Palatka, FL 32177
Phone (386) 325-9600

2312 Crill Ave
Palatka, FL 32177

2312 Crill Ave
Ste 1B
Palatka, FL 32177
Phone (386) 385-3046

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1457470742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 CRILL AVE STE 1B",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774800",
            "telephone_number": "904-540-6063",
            "fax_number": "386-385-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 CRILL AVE STE 1B",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774800",
            "telephone_number": "904-540-6063",
            "fax_number": "386-385-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRANEY",
        "first_name": "KYLE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

Verify at the official NPI Registry.