Individual provider Active NPI

Sydney Alexis Young, DC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1487452900
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15319 Issued in FL
Practice address
8110 Blanding Blvd
Jacksonville, FL 32244-5823
Phone
(904) 379-4621
Fax
(904) 592-8683
NPI assigned
Mar 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15319 FL Primary

Addresses

Primary practice location

8110 Blanding Blvd
Jacksonville, FL 32244-5823

Mailing address

14508 Serenoa Dr
Jacksonville, FL 32258-8483
Phone (910) 274-3719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251112003962 FL Practitioner - Chiropractic 8123519659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Bold City Chiropractic LLCGroup PAC ID 1759503808, 4 clinicians

Practice addresses (Care Compare)

8110 Blanding Blvd
Jacksonville, FL 32244-5823
Phone (904) 379-4621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15319FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bold City Chiropractic LLC Chiropractor CurrentSince Aug 31, 2025 Accepting new patients

Locations

8110 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 379-4621

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1487452900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14508 SERENOA DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322588483",
            "telephone_number": "910-274-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445823",
            "telephone_number": "904-379-4621",
            "fax_number": "904-592-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SYDNEY",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.