Individual provider Active NPI

James Antun, DC

  • Chiropractor
  • Amelia Island, FL
National Provider Identifier
1528504156
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12047 Issued in FL
Practice address
5211 South Fletcher Ave.
Suite 250
Amelia Island, FL 32034
Phone
(904) 775-8949
NPI assigned
Jan 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12047 FL Primary

Addresses

Primary practice location

5211 South Fletcher Ave.
Suite 250
Amelia Island, FL 32034

Mailing address

5211 South Fletcher Ave.
Suite 250
Amelia Island, FL 32034
Phone (904) 775-8949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170220002798 FL Practitioner - Chiropractic 0547543423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
8 Flags ChiropracticGroup PAC ID 3375826605, 2 clinicians

Practice addresses (Care Compare)

1416 Park Ave
Suite 202
Fernandina Beach, FL 32034-1901
Phone (904) 775-8949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
8 Flags Chiropractic Chiropractor CurrentSince Jan 1, 2017 Accepting new patients

Locations

5422 First Coast Hwy
Ste 118
Amelia Island, FL 32034
Phone (904) 775-8949

5211 S Fletcher Ave
Ste 250
Fernandina Beach, FL 32034
Phone (904) 310-6437

1416 Park Ave
Ste 102
Fernandina Beach, FL 32034

1416 Park Ave
Ste 202
Fernandina Beach, FL 32034
Phone (904) 775-8949

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": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1528504156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 SOUTH FLETCHER AVE.",
            "address_2": "SUITE 250",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "904-775-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 SOUTH FLETCHER AVE.",
            "address_2": "SUITE 250",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "904-775-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTUN",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-06",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amelia Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.