Immanuel Ishmael Garvin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15083 Issued in FL

Practice address

2905 Egret Walk Ter S
Jacksonville, FL 32226-4474

Phone

(904) 803-1673

NPI assigned

Aug 8, 2024

Last updated

Aug 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Garvin Family Ventures LLC

  dba Garvin Family Chiropractic & Holistic Wellness Center

  • Chiropractor
  • Jacksonville, FL
  • NPI 1083411565
  NPD Authorized official

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1477384964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26092",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322266092",
            "telephone_number": "904-803-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 EGRET WALK TER S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322264474",
            "telephone_number": "904-803-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "IMMANUEL",
        "middle_name": "ISHMAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Gartner, RN, BSN, IBCLC, RLC
• Rebecca Susan Gartner, O.T.
• Laura Elizabeth Minton Garton, MD
• Gartrell Ministries, Inc. (NuVision Counseling & Coaching Solutions)
• Garvin Family Ventures LLC (Garvin Family Chiropractic & Holistic Wellness Center)
• Kirvona Garvin, BACHELOR LEVEL
• Gary R Manasse DMD PA
• Gary S McCoy DPM PA
• Sha-Londa Gary
• Shadai Gary, FNP-C

• 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 Aug 8, 2024; 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.