Individual provider Active NPI

Jeannie Marie Johnson, DC

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1508170689
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9873 Issued in FL
Practice address
465 Maitland Ave Ste 6
Altamonte Springs, FL 32701-5444
Phone
(407) 716-6553
NPI assigned
Aug 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9873 FL Primary

Addresses

Primary practice location

465 Maitland Ave Ste 6
Altamonte Springs, FL 32701-5444

Mailing address

465 Maitland Ave Ste 6
Altamonte Springs, FL 32701-5444
Phone (407) 716-6553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728002925 FL Practitioner - Chiropractic 8628492303 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Chiropractic Inc Chiropractor CurrentSince Jan 16, 2020 Accepting new patients
Leaf Medical Group Chiropractor CurrentSince Jun 16, 2025 Accepting new patients
Robert Rosenberg P.a. PastSince Oct 25, 2004 Accepting new patients

Locations

465 Maitland Ave
Ste 6
Altamonte Springs, FL 32701
Phone (407) 716-6553

450 W State Road 434
Ste 2030
Longwood, FL 32750
Phone (321) 206-8100

250 S Ronald Reagan Blvd
Ste 104
Longwood, FL 32750
Phone (407) 716-6553

660 Florida Central Pkwy
Longwood, FL 32750

Organizations & group practices 3

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": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1508170689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 MAITLAND AVE STE 6",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015444",
            "telephone_number": "407-716-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MAITLAND AVE STE 6",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015444",
            "telephone_number": "407-716-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEANNIE",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.